Mdtaubnrprpa LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD432914 Issued in PA

Legal business name

MDTAUBNRPRPA LLC

Practice address

114 Washington Ave
Building 2
Downingtown, PA 19335-2951

Phone

(610) 518-7411

Fax

(610) 518-7412

NPI assigned

Oct 19, 2007

Organization subpart

No

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

Authorized official

Name

Elizabeth Hepler Taub, MD

Title

Owner

Phone

(610) 755-7291

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1710176375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 OLD KINGS HWY",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193353352",
            "telephone_number": "610-755-7291",
            "fax_number": "610-518-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WASHINGTON AVE",
            "address_2": "BUILDING 2",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193352951",
            "telephone_number": "610-518-7411",
            "fax_number": "610-518-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDTAUBNRPRPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "TAUB",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "HEPLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-755-7291",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD432914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENCE",
            "identifier": "MD432914",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole McKinney, PH.D.
• Megan Leigh McLovich
• Brenna Lynn McNamee
• Anne M McShane, MSN CS RNC
• Natasha McVey, MSS, LCSW, CBIS
• Stacey Mellinger, PH.D.
• Schyler Melsky, RDN, LDN
• Mark Alan Menard, PHARMD
• Joseph Mento
• Donna Merkel

• General Practice Physician in Downingtown, PA
• Providers in Downingtown, PA by specialty
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.