East Penn Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EAST PENN MEDICAL CENTER

Practice address

1003 Chestnut St
Emmaus, PA 18049-1902

Phone

(610) 928-1150

Fax

(610) 625-2314

NPI assigned

Dec 17, 2012

Organization subpart

No

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

Authorized official

Name

Mary Ellen Williams, D.O.

Title

Medical Director

Phone

(610) 928-1150

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1619213865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 CHESTNUT ST",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180491902",
            "telephone_number": "610-928-1150",
            "fax_number": "610-625-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 CHESTNUT ST",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180491902",
            "telephone_number": "610-928-1150",
            "fax_number": "610-625-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST PENN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MARY ELLEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "610-928-1150",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "183915",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "692103",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016773350004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. David Hay
• Adrienne Marie Drago, MS, BCBA
• Deborah Duenyas, LPC
• Jordana Earl-Parler, PA
• East Penn House Calls PC
• East Penn School District
• Jeanette Donna Egan, MS,LPC, CAC-D,CCDP-D
• Jessica L. Elliott
• Kristi Danielle Elser, M.A.
• Emmaus Drug Store Inc

• Family Medicine Physician in Emmaus, PA
• Providers in Emmaus, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.

Verify at the official NPI Registry.