Individual provider Active NPI

Erin Hayden Sjostrom, D.O.

  • Emergency Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1780888578
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS018056 Issued in PA
Practice address
8835 Germantown Ave
Philadelphia, PA 19118-2718
Phone
(215) 248-8508
NPI assigned
Jun 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS018056 PA Primary

Addresses

Primary practice location

8835 Germantown Ave
Philadelphia, PA 19118-2718

Mailing address

604 Saint Andrews Rd
Philadelphia, PA 19118-4117
Phone (484) 529-2219

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
I20160616001852 PA Practitioner - Emergency Medicine 8426349747 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Philadelphia College of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Care Specialists PCGroup PAC ID 4082517479, 17 clinicians

Practice addresses (Care Compare)

701 E Marshall St
West Chester, PA 19380-4412
Phone (800) 528-0006

Hospital & facility affiliations

  • Chester County Hospital Hospital, West Chester, PA, CCN 390179

Merit-based Incentive Payment System (MIPS)

Final score
78.21 of 100Reported as individual
Quality
92.55
Improvement activities
0
Cost
79.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS018056PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Urgent Care, LLC Emergency Medicine CurrentSince Mar 29, 2021 Accepting new patients
West Grove Clinic Company LLC CurrentSince Nov 1, 2019 Accepting new patients
Emergency Care Specialists, PC Emergency Medicine CurrentSince Mar 1, 2021 Accepting new patients
Chestnut Hill Clinic Company, LLC CurrentSince Oct 28, 2019 Accepting new patients
Chestnut Hill Clinic Company, LLC CurrentSince Oct 28, 2019 Accepting new patients
West Grove Clinic Company LLC Emergency Medicine CurrentSince Nov 1, 2019 Accepting new patients

Locations

1139 Ben Franklin Hwy W
Ste 114
Douglassville, PA 19518
Phone (610) 385-4444

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485

33 W Ridge Pike
Ste 627
Royersford, PA 19468
Phone (610) 226-6200

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

1015 W Baltimore Pike
West Grove, PA 19390
Phone (610) 869-1000

1011 W Baltimore Pike
Ste 307
West Grove, PA 19390
Phone (610) 869-1240

520 Chestnut St
Bldg S3
West Reading, PA 19611
Phone (610) 561-6320

8200 Flourtown Ave
Ste 2
Wyndmoor, PA 19038
Phone (215) 836-5100

Organizations & group practices 6

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1780888578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 SAINT ANDREWS RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191184117",
            "telephone_number": "484-529-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8835 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182718",
            "telephone_number": "215-248-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SJOSTROM",
        "first_name": "ERIN",
        "middle_name": "HAYDEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS018056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.