Individual provider Active NPI

Archibald Clinton Hewes, M.D.

  • Anatomic Pathology Physician
  • Philadelphia, PA
National Provider Identifier
1659512044
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
C1-0001528 Issued in DE
Practice address
256 S Van Pelt St
Philadelphia, PA 19103-4813
Phone
(215) 545-6936
Fax
(215) 701-0814
NPI assigned
Mar 13, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X C1-0001528 DE Primary

Addresses

Primary practice location

256 S Van Pelt St
Philadelphia, PA 19103-4813

Mailing address

256 S Van Pelt St
Philadelphia, PA 19103-4813
Phone (215) 545-6936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C1-0001528DEMDAnatomic Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236902400000",
    "number": "1659512044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 S VAN PELT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034813",
            "telephone_number": "215-545-6936",
            "fax_number": "215-701-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 S VAN PELT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034813",
            "telephone_number": "215-545-6936",
            "fax_number": "215-701-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWES",
        "first_name": "ARCHIBALD",
        "middle_name": "CLINTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-13",
        "last_updated": "2009-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "DE",
            "license": "C1-0001528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 13, 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.