Phoenixville Clinic Company LLC
Organization Active NPI Vascular Surgery Physician · Limerick, PA
NPI 1790746345 · NPPES record last updated Mar 26, 2019
Key facts
- NPI
- 1790746345
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Vascular Surgery Physician 2086S0129X
- Legal business name
- PHOENIXVILLE CLINIC COMPANY LLC
- Practice address
- 420 W Linfield Trappe Rd
Ste 1100
Limerick, PA 19468-4278 - Phone
- (610) 495-2550
- Fax
- (610) 495-2588
- NPI assigned
- Mar 31, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- PHOENIXVILLE CLINIC COMPANY LLC
Authorized official
- Name
- Gary Conner
- Title
- VP & Cfo
- Phone
- (484) 628-8181
Other NPIs on the same Medicare enrollment 2
Member organizations 1
Practitioners 524
-
Kareem Abed, MD, MBA
-
Mohamed Ahmed, M.D
-
Artun Aksade, MD
-
Mohammad M Al Madani, M.D.
-
Nabil Al-Annouf, M.D.
-
Essel Dulaimi Al-Saleem, M.D.
-
Muhammad Ameen, MD
-
Endla Anday, M.D.
-
Mohammad Aneeb, MD
-
Brett G Angel, M.D.
-
Vasudha Arekatla, MD
-
Simon Getachew Atena, M,D.
-
Muhammad Azam, MD
-
Sophia Baig, M.D.
-
Blake Bailey, DO
-
Sofia Libarnes Bajwa, D.O.
-
Jherna Balany, M.D., M.P.H.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060606000128 | PA | Part B Supplier - Clinic/Group Practice | 5799796850 |
Receives reassigned benefits from 565 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Audubon, PA; Royersford, PA; Pottstown, PA; Phoenixville, PA; Philadelphia, PA; Norristown, PA; Limerick, PA; Collegeville, PA |
National Provider Directory
- Part of
- Phoenixville Clinic Company LLC
Locations
2792 Egypt Rd
Norristown, PA 19403
Phone (610) 666-9240
824 Main St
Ste 300
Phoenixville, PA 19460
Phone (215) 935-7772
824 Main St
Ste 302
Phoenixville, PA 19460
Phone (610) 917-9551
824 Main St
Ste 304
Phoenixville, PA 19460
Phone (610) 935-7772
824 Main St
Ste 206
Phoenixville, PA 19460
Phone (610) 983-1010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician |
2086S0129X | Yes |
Addresses
Primary practice location
420 W Linfield Trappe Rd
Ste 1100
Limerick, PA 19468-4278
Mailing address
PO Box 13579
Reading, PA 19612-3579
Other names
- Phoenixville Surgical Associates
Other providers in Limerick, PA
- Leah Perry
- Johanne Personna-Policard
- Gabrielle Pezzulo
- Phoenixville Clinic Company LLC
- Phoenixville Clinic Company LLC
- Phoenixville Orthopedic Specialists LLC
- Phoenixville Specialty Clinics LLC
- Phoenixville Surgery Associates LLC
- Roseann Pignoli
- Pma Medical Specialists Endocrinology
All providers in Limerick, PA · Vascular Surgery Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.