NPIMap

Organization Active NPI

Pmsi Division of Neurology

  • Neurology Physician
  • Pottstown, PA
National Provider Identifier
1598068702
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD072338L Issued in PA
Legal business name
PMSI DIVISION OF NEUROLOGY
Practice address
1569 Medical Drive
Suite 201
Pottstown, PA 19464
Phone
(484) 945-7643
Fax
(484) 945-7650
NPI assigned
Dec 9, 2010
Organization subpart
Yes
Parent organization
POTTSTOWN MEDICAL SPECIALISTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shana M Enochs
Title
Credentialing Specialist
Phone
(610) 327-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0400X MD072338L PA Primary

Addresses

Primary practice location

1569 Medical Drive
Suite 201
Pottstown, PA 19464

Mailing address

1610 Medical Drive - Suite 310
Pottstown, PA 19464
Phone (610) 327-4200

Other names 1

  • PMSI NEUROLOGY Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040426000589 PA Part B Supplier - Clinic/Group Practice 8224024096 Receives reassigned benefits from 51 practitioners
24 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Boyertown, PA; Collegeville, PA; Pottstown, PA; Royersford, PA; Stowe, PA

Other NPIs on the same Medicare enrollment 20

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 20

National Provider Directory

National Provider Directory
Tax ID family
Stowe Medical Group9 organizations share this tax ID, including this one
Part of
Stowe Medical Group

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

223 Shoemaker Rd
Ste 105
Stowe, PA 19464
Phone (484) 945-0770

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1598068702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 MEDICAL DRIVE - SUITE 310",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "19464",
            "telephone_number": "610-327-4200",
            "fax_number": "610-327-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 MEDICAL DRIVE",
            "address_2": "SUITE 201",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "19464",
            "telephone_number": "484-945-7643",
            "fax_number": "484-945-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMSI DIVISION OF NEUROLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POTTSTOWN MEDICAL SPECIALISTS",
        "enumeration_date": "2010-12-09",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "ENOCHS",
        "authorized_official_first_name": "SHANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "610-327-4200"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD072338L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PMSI NEUROLOGY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pottstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.