NPIMap

Organization Active NPI

Stowe Medical Group

  • Internal Medicine Physician
  • Pottstown, PA
National Provider Identifier
1639293046
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS012002 Issued in PA
Legal business name
STOWE MEDICAL GROUP
Doing business as
Stowe Medical Group
Practice address
1610 Medical Dr
Suite 310
Pottstown, PA 19464-3292
Phone
(610) 327-4200
NPI assigned
Mar 19, 2007
Last updated
Feb 10, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
STOWE MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Authorized official

Name
Katie Harrison
Title
Communications Administrator
Phone
(610) 327-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS012002 PA Primary

Addresses

Primary practice location

1610 Medical Dr
Suite 310
Pottstown, PA 19464-3292

Mailing address

555 Glasgow St
Stowe, PA 19464-6557
Phone (484) 945-0770

Other identifiers 2

IdentifierTypeStateIssuer
26191OtherPABLUE SHIELD ASSIGN.ACCT
0045725004OtherPAKEYSTONE HMO

Other names 1

  • Stowe Medical Group Doing business as

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
Part of
Pottstown Meidcl Spec I

Locations

1555 Medical Dr
Pottstown, PA 19464
Phone (610) 326-7820

1601 Medical Dr
Pottstown, PA 19464
Phone (610) 327-4200

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1639293046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 GLASGOW ST",
            "city": "STOWE",
            "state": "PA",
            "postal_code": "194646557",
            "telephone_number": "484-945-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 MEDICAL DR",
            "address_2": "SUITE 310",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643292",
            "telephone_number": "610-327-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOWE MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STOWE MEDICAL GROUP",
        "enumeration_date": "2007-03-19",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "COMMUNICATIONS ADMINISTRATOR",
        "authorized_official_telephone_number": "610-327-4200"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS012002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ASSIGN.ACCT",
            "identifier": "26191",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HMO",
            "identifier": "0045725004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stowe Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 10, 2014; 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.