Organization Active NPI

Limerick Medical Center, PC

  • General Practice Physician
  • Sanatoga, PA
National Provider Identifier
1679945414
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD051919L Issued in PA
Legal business name
LIMERICK MEDICAL CENTER, PC
Practice address
2871 E High St
Sanatoga, PA 19464-3119
Phone
(610) 970-9999
NPI assigned
Oct 20, 2015
Last updated
Oct 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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

Authorized official

Name
Dr. Kem Yenal, MD
Title
Owner
Phone
(610) 970-9999

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA054179 PA
General Practice Physician 208D00000X MD051919L PA Primary

Addresses

Primary practice location

2871 E High St
Sanatoga, PA 19464-3119

Mailing address

PO Box 474
Delaware Water Gap, PA 18327-0474
Phone (610) 970-9999

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1679945414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 474",
            "city": "DELAWARE WATER GAP",
            "state": "PA",
            "postal_code": "183270474",
            "telephone_number": "610-970-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2871 E HIGH ST",
            "city": "SANATOGA",
            "state": "PA",
            "postal_code": "194643119",
            "telephone_number": "610-970-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIMERICK MEDICAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "YENAL",
        "authorized_official_first_name": "KEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-970-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA054179",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD051919L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanatoga, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.