Active NPI
Nes Michigan Inc
- Emergency Medicine Physician
- Philadelphia, PA
National Provider Identifier
1740794536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- NES MICHIGAN INC
- Practice address
- 5800 Ridge Ave
Philadelphia, PA 19128-1737 - Phone
- (215) 483-9900
- NPI assigned
- Dec 1, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Moore
- Title
- Ceo
- Phone
- (415) 435-4591
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
5800 Ridge Ave
Philadelphia, PA 19128-1737
Mailing address
PO Box 31110
Belfast, ME 04915-0140
Other practice location 1
501 Bath Rd
Bristol, PA 19007-3101
Phone (215) 785-9200
Other practice location 2
2701 Dekalb Pike
Norristown, PA 19401-1820
Phone (610) 278-2000
Other practice location 3
695 N Kellogg St
Galesburg, IL 61401-2807
Phone (309) 343-8131
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- North Chicago, IL
- NPI 1952313207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683244800000",
"number": "1740794536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31110",
"city": "BELFAST",
"state": "ME",
"postal_code": "049150140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 RIDGE AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191281737",
"telephone_number": "215-483-9900"
}
],
"practiceLocations": [
{
"address_1": "501 Bath Rd",
"address_purpose": "LOCATION",
"city": "Bristol",
"state": "PA",
"postal_code": "190073101",
"country_code": "US",
"telephone_number": "215-785-9200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2701 Dekalb Pike",
"address_purpose": "LOCATION",
"city": "Norristown",
"state": "PA",
"postal_code": "194011820",
"country_code": "US",
"telephone_number": "610-278-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "695 N Kellogg St",
"address_purpose": "LOCATION",
"city": "Galesburg",
"state": "IL",
"postal_code": "614012807",
"country_code": "US",
"telephone_number": "309-343-8131",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NES MICHIGAN INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-01",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "415-435-4591"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"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 May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.