Active NPI
Burholme Emergency Care Specialists LLC
- Emergency Medicine Physician
- Philadelphia, PA
National Provider Identifier
1588693121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- BURHOLME EMERGENCY CARE SPECIALISTS LLC
- Practice address
- 7600 Central Ave
Philadelphia, PA 19111-2442 - Phone
- (215) 729-2169
- NPI assigned
- Jul 3, 2006
- Last updated
- Feb 14, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dana Mark Weber, MD
- Title
- President
- Phone
- (215) 728-2169
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
7600 Central Ave
Philadelphia, PA 19111-2442
Mailing address
PO Box 425
Lederach, PA 19450-0425
Phone (800) 528-0006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019283910001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 22
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329177600000",
"number": "1588693121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 425",
"city": "LEDERACH",
"state": "PA",
"postal_code": "194500425",
"telephone_number": "800-528-0006",
"fax_number": "732-349-6030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 CENTRAL AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191112442",
"telephone_number": "215-729-2169"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BURHOLME EMERGENCY CARE SPECIALISTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-03",
"last_updated": "2012-02-14",
"status": "A",
"authorized_official_last_name": "WEBER",
"authorized_official_first_name": "DANA",
"authorized_official_middle_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-728-2169",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019283910001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.