NPIMap

Organization Active NPI

Richard L Jahnle MD PC

  • Ophthalmology Physician
  • Havertown, PA
National Provider Identifier
1689949067
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RICHARD L JAHNLE MD PC
Practice address
2010 W Chester Pike
Wellness Center; Suite 310
Havertown, PA 19083-2737
Phone
(610) 446-2260
Fax
(610) 446-3360
NPI assigned
Mar 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2012

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

Authorized official

Name
Richard L. Jahnle, MDNPI 1083619878
Title
Owner
Phone
(610) 446-2260

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X PA
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X PA Primary

Addresses

Primary practice location

2010 W Chester Pike
Wellness Center; Suite 310
Havertown, PA 19083-2737

Mailing address

2010 W Chester Pike
Wellness Center; Suite 310
Havertown, PA 19083-2737
Phone (610) 446-2260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120427000316 PA Part B Supplier - Clinic/Group Practice 0244492882 Receives reassigned benefits from 6 practitioners
Practice locations: Havertown, PA; Media, PA

National Provider Directory

National Provider Directory

Locations

2010 W Chester Pike
Havertown, PA 19083
Phone (610) 446-2260

2010 W Chester Pike
Ste 310
Havertown, PA 19083
Phone (610) 446-2260

1098 W Baltimore Pike
Ste 3407
Media, PA 19063
Phone (610) 566-7096

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1689949067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 W CHESTER PIKE",
            "address_2": "WELLNESS CENTER; SUITE 310",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832737",
            "telephone_number": "610-446-2260",
            "fax_number": "610-446-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 W CHESTER PIKE",
            "address_2": "WELLNESS CENTER; SUITE 310",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832737",
            "telephone_number": "610-446-2260",
            "fax_number": "610-446-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L JAHNLE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "JAHNLE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-446-2260",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.