NPIMap

Organization Active NPI

Methodist Associates in Healthcare, Inc.

Doing business as Jefferson Community Physicians - Gastroenterology

  • Gastroenterology Physician
  • Philadelphia, PA
National Provider Identifier
1649825795
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
METHODIST ASSOCIATES IN HEALTHCARE, INC.
Doing business as
Jefferson Community Physicians - Gastroenterology
Practice address
132 S 10TH St
Philadelphia, PA 19107-5244
Phone
(215) 955-8900
Fax
(215) 923-3447
NPI assigned
Aug 6, 2019
Last updated
Oct 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Dawn Padgett
Title
Credentialing Supervisor
Phone
(215) 955-1175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

132 S 10TH St
Philadelphia, PA 19107-5244

Mailing address

PO Box 828937
Philadelphia, PA 19182-8937
Phone (215) 503-1240

Other names 1

  • Jefferson Community Physicians - Gastroenterology Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Methodist Associates in Healthcare Heart Station38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

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

View all 37

Locations

3501 Masons Mill Rd
Huntingdon Valley, PA 19006
Phone (215) 657-1315

1205 Langhorne Newtown Rd
Ste 204
Langhorne, PA 19047
Phone (215) 750-7818

110 N 8th St
Ste 104
Philadelphia, PA 19107
Phone (215) 587-3000

3998 Red Lion Rd
Ste 211
Philadelphia, PA 19114
Phone (215) 612-5390

909 Walnut St
Fl 1
Philadelphia, PA 19107

2422 S Broad St
#C
Philadelphia, PA 19145

900 Walnut St
#2
Philadelphia, PA 19107

4900 Frankford Ave
#2
Philadelphia, PA 19124

10800 Knights Rd
#2
Philadelphia, PA 19114

3998 Red Lion Rd
Ste 204
Philadelphia, PA 19114
Phone (215) 612-8484

Practitioners & affiliated clinicians

Practitioners 9

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": "1565049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1649825795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 828937",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191828937",
            "telephone_number": "215-503-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 S 10TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075244",
            "telephone_number": "215-955-8900",
            "fax_number": "215-923-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST ASSOCIATES IN HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-06",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "PADGETT",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "215-955-1175"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson Community Physicians - Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jefferson Community Physicians - Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 13, 2022; 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.