Portia Conix, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS007790L Issued in PA

Practice address

1300 S 18TH St
Philadelphia, PA 19146-4601

Phone

(215) 467-6320

Fax

(215) 755-5171

NPI assigned

Jul 10, 2006

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Delaware Valley Medical Specialties

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1013016716
  NPD (past)
• Men & Women for Human Excellence, Inc.

  • Public Health or Welfare Agency
  • Philadelphia, PA
  • NPI 1689700551
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1669406971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 S 17TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036231",
            "telephone_number": "215-546-7049",
            "fax_number": "215-546-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S 18TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191464601",
            "telephone_number": "215-467-6320",
            "fax_number": "215-755-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONIX",
        "first_name": "PORTIA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS007790L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Congreso de Latinos Unidos- Esfuerzo
• Congreso de Latinos Unidos, Inc
• Peter H Conicelli, CRNA
• Sina N Conicelli, CRNA
• Kathryn Coniglio, PHD
• Ava Conklin
• Linda Conley Soffer, LPC
• Ashlynn Faith Conley
• Gabriella Conley, CRNP
• Lauren Conley

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.