NPIMap

Organization Active NPI

Fornance Physician Services, Inc.

  • Neurological Surgery Physician
  • Plymouth Meeting, PA
National Provider Identifier
1699459388
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
FORNANCE PHYSICIAN SERVICES, INC.
Practice address
633 W Germantown Pike Ste 105
Plymouth Meeting, PA 19462-1032
Phone
(610) 941-6881
NPI assigned
Jun 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Authorized official

Name
Tiffany Jones
Title
Provider Enrollment Manager
Phone
(215) 456-8129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

633 W Germantown Pike Ste 105
Plymouth Meeting, PA 19462-1032

Mailing address

PO Box 789967
Philadelphia, PA 19178-9967
Phone (484) 622-7395

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040216000037 PA Part B Supplier - Clinic/Group Practice 8527962661 Receives reassigned benefits from 215 practitioners
36 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: King of Prussia, PA; Lansdale, PA; Norristown, PA; North Wales, PA; Plymouth Meeting, PA; East Norriton, PA; Audubon, PA; Blue Bell, PA…

Other NPIs on the same Medicare enrollment 36

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 36

National Provider Directory

National Provider Directory
Tax ID family
Fornance Physician Services Inc28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Locations

5 W 5th St
Bridgeport, PA 19405
Phone (610) 279-4977

2303 N Broad St
Ste 4
Colmar, PA 18915
Phone (215) 801-6579

210 Mall Blvd
Ste 202
King of Prussia, PA 19406
Phone (484) 557-3260

625 Clark Ave
Ste 13
Kng of Prussa, PA 19406
Phone (610) 265-8566

1330 Powell St
Ste 100
Norristown, PA 19401
Phone (610) 272-1080

1330 Powell St
Ste 608
Norristown, PA 19401
Phone (484) 622-7280

1330 Powell St
Ste 504
Norristown, PA 19401
Phone (610) 275-5958

4070 Butler Pike
Ste 200
Plymouth Mtng, PA 19462
Phone (610) 825-5741

545 W Main St
Trappe, PA 19426
Phone (610) 489-5782

Practitioners & affiliated clinicians

Practitioners 226

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

View all 226

NPI Registry JSON

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1699459388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 789967",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191789967",
            "telephone_number": "484-622-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 W GERMANTOWN PIKE STE 105",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621032",
            "telephone_number": "610-941-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORNANCE PHYSICIAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT MANAGER",
        "authorized_official_telephone_number": "215-456-8129"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.