NPIMap

Organization Active NPI

Professional Healthcare Dynamics

  • Gynecology Physician
  • Philadelphia, PA
National Provider Identifier
1679953798
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
OS003098L Issued in PA
Legal business name
PROFESSIONAL HEALTHCARE DYNAMICS
Practice address
1313 Wolf St
Philadelphia, PA 19148-2911
Phone
(215) 465-3000
Fax
(215) 465-1085
NPI assigned
Jun 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Authorized official

Name
Richard J Dittrich, D.O.
Title
Medical Director
Phone
(215) 465-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X OS003098L PA Primary

Addresses

Primary practice location

1313 Wolf St
Philadelphia, PA 19148-2911

Mailing address

1313 Wolf St
Philadelphia, PA 19148-2911
Phone (215) 465-3000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1679953798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 WOLF ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191482911",
            "telephone_number": "215-465-3000",
            "fax_number": "215-465-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 WOLF ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191482911",
            "telephone_number": "215-465-3000",
            "fax_number": "215-465-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEALTHCARE DYNAMICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "DITTRICH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "215-465-3000",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PA",
            "license": "OS003098L",
            "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 Jun 3, 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.