Collegeville Pediatrics

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

MD040252E Issued in PA

Legal business name

COLLEGEVILLE PEDIATRICS

Practice address

3770 Ridge Pike
Collegeville, PA 19426-3170

Phone

(610) 489-8130

Fax

(610) 489-8136

NPI assigned

Jul 14, 2010

Last updated

Jan 16, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen L Albanese

Title

Office Manager

Phone

(610) 489-8130

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1710299110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3770 RIDGE PIKE",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263170",
            "telephone_number": "610-489-8130",
            "fax_number": "610-489-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 RIDGE PIKE",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263170",
            "telephone_number": "610-489-8130",
            "fax_number": "610-489-8136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGEVILLE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-14",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "ALBANESE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-489-8130"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "PA",
            "license": "MD040252E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coeo, LLC
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• Collegeville Dental Associates PC
• Collegeville Dental Center
• Collegeville Pediatric Dentistry P.C.
• Collegeville Pharmacy Inc
• Collegeville Speech and Hearing, LLC
• Columbia Cottage - Collegeville, LLC
• Committed Companions Homecare LLC
• Communication Associates

• Legal Medicine in Collegeville, PA
• Providers in Collegeville, PA by specialty
• Legal Medicine in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.