Active NPI
Cpa Care of Penn, LLC
- Cardiovascular Disease Physician
- Philadelphia, PA
National Provider Identifier
1679036339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- CPA CARE OF PENN, LLC
- Practice address
- 1700 Market St Ste 1005A104
Philadelphia, PA 19103-3913 - Phone
- (615) 386-0064
- NPI assigned
- Apr 10, 2019
- Last updated
- Jan 12, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Hannon
- Title
- SVP, Marketing and Communications
- Phone
- (615) 260-4874
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Interventional Cardiology Physician | 207RI0011X |
Addresses
Primary practice location
1700 Market St Ste 1005A104
Philadelphia, PA 19103-3913
Mailing address
102 Woodmont Blvd Ste 350
Nashville, TN 37205-2216
Phone (615) 733-2064
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641945600000",
"number": "1679036339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WOODMONT BLVD STE 350",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372052216",
"telephone_number": "615-733-2064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 MARKET ST STE 1005A104",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191033913",
"telephone_number": "615-386-0064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CPA CARE OF PENN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-10",
"last_updated": "2022-01-12",
"certification_date": "2022-01-12",
"status": "A",
"authorized_official_last_name": "HANNON",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "SVP, MARKETING AND COMMUNICATIONS",
"authorized_official_telephone_number": "615-260-4874"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
- Patricia Marie Coyne, CRNA
- Diana Cozma, M.D
- Cozy Caregivers Homecare Agency
- CP Operating LLC (Care Pavilion Nursing and Rehabilitation Center)
- Cpa Care of Penn II, LLC
- Cpa: Consulting Psychotherapy Associates
- CPR Rehabilitation
- CPS Enterprises Inc (Campus Pharmacy)
- CQC Home Care Specialists LLC
- Deborah Crabbe, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.