Rising Sun Family Practice Center, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RISING SUN FAMILY PRACTICE CENTER, INC.

Practice address

7131 Rising Sun Ave
Philadephia, PA 19111-3924

Phone

(215) 742-9700

Fax

(215) 742-0828

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Andrew Scott Poulshock, DO

Title

President Physician

Phone

(215) 742-9700

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1750449468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7131 RISING SUN AVE",
            "city": "PHILADEPHIA",
            "state": "PA",
            "postal_code": "191113924",
            "telephone_number": "215-742-9700",
            "fax_number": "215-742-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7131 RISING SUN AVE",
            "city": "PHILADEPHIA",
            "state": "PA",
            "postal_code": "191113924",
            "telephone_number": "215-742-9700",
            "fax_number": "215-742-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING SUN FAMILY PRACTICE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "POULSHOCK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT PHYSICIAN",
        "authorized_official_telephone_number": "215-742-9700",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010589360003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Philadephia, PA
• Providers in Philadephia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.