Temple University of the Commonwealth System of Higher Education

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION

Doing business as

Temple Ortorhinology Associates

Practice address

3509 N Broad St
Philadelphia, PA 19140-4105

Phone

(215) 707-3663

Fax

(215) 707-6417

NPI assigned

Oct 13, 2005

Last updated

Jun 15, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tonya Woodard

Title

Credentialing/Manager

Phone

(215) 707-3911

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Temple Ortorhinology Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 3

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.

• Oneida A Arosarena, MD

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Philadelphia, PA
  • NPI 1164475919
  NPD (past)
• John Hobart Krouse, M.D.

  • Otolaryngology Physician
  • Philadelphia, PA
  • NPI 1619914603
  NPD (past)
• Susan Patricia Proska, AUD

  • Audiologist
  • Bryn Mawr, PA
  • NPI 1922524347
  NPD (past)

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529020800000",
    "number": "1659360519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W HUNTING PARK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291302",
            "telephone_number": "215-707-3663",
            "fax_number": "215-707-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404105",
            "telephone_number": "215-707-3663",
            "fax_number": "215-707-6417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7604 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191112433",
            "country_code": "US",
            "telephone_number": "215-707-3663",
            "fax_number": "215-707-6417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "PA",
            "postal_code": "190343314",
            "country_code": "US",
            "telephone_number": "215-707-3663",
            "fax_number": "215-641-1664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1077 Rydal Rd",
            "address_purpose": "LOCATION",
            "city": "Meadowbrook",
            "state": "PA",
            "postal_code": "190461712",
            "country_code": "US",
            "telephone_number": "215-707-3663",
            "fax_number": "215-885-4849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2018-06-15",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "CREDENTIALING/MANAGER",
        "authorized_official_telephone_number": "215-707-3911"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007780130799",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007780130800",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007780130801",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007780130692",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Temple Ortorhinology Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Temple Ortorhinology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Temple University of the Commonwealth System of Higher Education (Temple Neurosurgical)
• Temple University of the Commonwealth System of Higher Education (Temple Pediatric Anesthesiology Associates)
• Temple University of the Commonwealth System of Higher Education (Temple Vascular Surgery)
• Temple University of the Commonwealth System of Higher Education (Temple Oral Pathology Associates)
• Temple University of the Commonwealth System of Higher Education (Temple Pediatric Hematology Oncology Assoc)
• Temple University of the Commonwealth System of Higher Education (Vaux Community Health Center)
• Temple University of the Commonwealth System of Higher Education (Temple Urology Associates)
• Temple University of the Commonwealth System of Higher Education (Temple Physical Therapy Associates)
• Temple University of the Commonwealth System of Higher Education (Temple Internal Medicine Associates MIC)
• Temple University of the Commonwealth System of Higher Education (Temple Metabolism Associate)

• Otolaryngology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Otolaryngology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.