Individual provider Active NPI

Andrew Scott Kirschner, D.O.

  • Family Medicine Physician
  • Bala Cynwyd, PA
National Provider Identifier
1710927306
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS-009268L Issued in PA
Practice address
1 Belmont Ave
Ste. 416
Bala Cynwyd, PA 19004-1617
Phone
(610) 617-9355
Fax
(610) 667-2748
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS-009268L PA Primary

Addresses

Primary practice location

1 Belmont Ave
Ste. 416
Bala Cynwyd, PA 19004-1617

Mailing address

1 Belmont Ave
Ste. 416
Bala Cynwyd, PA 19004-1617
Phone (610) 617-9355

Other identifiers 2

IdentifierTypeStateIssuer
2094554OtherAETNA
0707749001OtherKEYSTONE HEALTH PLAN EAST

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
I20050627000523 PA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 4688619091 Practice locations: Bala Cynwyd, PA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS-009268LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Multispecialty Limited, LLC PastSince Jul 5, 2013 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: andrew.kirschner@516438134226948.direct.elationemr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1710927306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BELMONT AVE",
            "address_2": "STE. 416",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041617",
            "telephone_number": "610-617-9355",
            "fax_number": "610-667-2748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BELMONT AVE",
            "address_2": "STE. 416",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041617",
            "telephone_number": "610-617-9355",
            "fax_number": "610-667-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCHNER",
        "first_name": "ANDREW",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS-009268L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2094554",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "0707749001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

Verify at the official NPI Registry.