NPIMap

Organization Active NPI

Pennsylvania Surgical Associates, P.C.

  • Specialist
  • Philadelphia, PA
National Provider Identifier
1720277965
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD010352E Issued in PA
Legal business name
PENNSYLVANIA SURGICAL ASSOCIATES, P.C.
Practice address
301 S 8TH St
Suite 4a
Philadelphia, PA 19106-4000
Phone
(215) 829-8455
Fax
(215) 829-8454
NPI assigned
Oct 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Ms. Hillary A Ingram
Title
Office Manager
Phone
(215) 829-7495

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X MD010352E PA Primary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X MD037959E PA

Addresses

Primary practice location

301 S 8TH St
Suite 4a
Philadelphia, PA 19106-4000

Mailing address

301 S 8TH St
Suite 4a
Philadelphia, PA 19106-4000
Phone (215) 829-8455

National Provider Directory

National Provider Directory

Locations

301 S 8th St
Ste 4A
Philadelphia, PA 19106
Phone (215) 829-3049

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1720277965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S 8TH ST",
            "address_2": "SUITE 4A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064000",
            "telephone_number": "215-829-8455",
            "fax_number": "215-829-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S 8TH ST",
            "address_2": "SUITE 4A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064000",
            "telephone_number": "215-829-8455",
            "fax_number": "215-829-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA SURGICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "HILLARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-829-7495",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD010352E",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD037959E",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.