PCG Internal Medicine PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PCG INTERNAL MEDICINE PC

Practice address

261 Old York Rd
Suite 620a
Jenkintown, PA 19046-3706

Phone

(215) 885-8700

Fax

(215) 885-8795

NPI assigned

Aug 12, 2014

Organization subpart

No

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

Authorized official

Name

Gary Evans

Title

Manager

Phone

(215) 885-8700

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marie Carrier-Kinsley, MD

  • Pediatrics Physician
  • Jenkintown, PA
  • NPI 1891762977
  NPD (past)

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421625600000",
    "number": "1659780971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 OLD YORK RD",
            "address_2": "SUITE 620A",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463706",
            "telephone_number": "215-885-8700",
            "fax_number": "215-885-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 OLD YORK RD",
            "address_2": "SUITE 620A",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463706",
            "telephone_number": "215-885-8700",
            "fax_number": "215-885-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCG INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2015-01-19",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "215-885-8700"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johanna Parkin
• Parvesh Services LLC
• Shradhdha Yatin Patel, CRNP
• Paul-Durocher Certified Registered Nurse Practitioner Consultants
• Katherine Lorraine Paz
• Pearle Vision Inc
• Trisha Monique Pearson, LPC
• Pediatric Care Group, P.C.
• Pediatric Care Group, P.C.
• Peds 360 Plus Corp

• All providers in Jenkintown, PA
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; 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.