Individual provider Active NPI

James L. Tweedy Jr., D.O.

  • Adult Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1689634065
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
OS008911L Issued in PA
Practice address
724 W Porter St
Philadelphia, PA 19148-3841
Phone
(215) 334-6762
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X OS008911L PA Primary

Addresses

Primary practice location

724 W Porter St
Philadelphia, PA 19148-3841

Mailing address

724 W Porter St
Philadelphia, PA 19148-3841
Phone (215) 334-6762

Other identifiers 1

IdentifierTypeStateIssuer
01648115MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120228000354 PA Practitioner - General Practice 9133387061 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Philadelphia College of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bridges Palliative Care LLCGroup PAC ID 5698992493, 2 clinicians

Practice addresses (Care Compare)

401 Horsham Rd
Horsham, PA 19044-2013
Phone (484) 766-1496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS008911LPAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Continuing Care Medical Associates PLLC CurrentSince Apr 4, 2018 Accepting new patients
Bridges Palliative Care LLC CurrentSince Apr 19, 2022 Accepting new patients
Continuing Care Medical Associates PLLC CurrentSince Apr 4, 2018 Accepting new patients
Steingard and Testa Medical Associates PC Adult Medicine PastSince May 29, 2010 Accepting new patients

Locations

401 Horsham Rd
Horsham, PA 19044
Phone (215) 422-3646

251 Stenton Ave
Plymouth Mtng, PA 19462
Phone (215) 987-3663

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279843200000",
    "number": "1689634065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 W PORTER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191483841",
            "telephone_number": "215-334-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 W PORTER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191483841",
            "telephone_number": "215-334-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWEEDY",
        "first_name": "JAMES",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2010-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "PA",
            "license": "OS008911L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01648115",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.