Harry Arthur Fallick, D.O.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

OS005218L Issued in PA

Practice address

2555 Industry LN
Norristown, PA 19403-3933

Phone

(610) 630-6800

Fax

(610) 630-6202

NPI assigned

Nov 12, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257984000000",
    "number": "1639406689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 INDUSTRY LN",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194033933",
            "telephone_number": "610-630-6800",
            "fax_number": "610-630-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 INDUSTRY LN",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194033933",
            "telephone_number": "610-630-6800",
            "fax_number": "610-630-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLICK",
        "first_name": "HARRY",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "OS005218L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic Surgery Physician in Norristown, PA
• Providers in Norristown, PA by specialty
• Plastic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.