Chestnut Hill Clinic Company, LLC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

Legal business name

CHESTNUT HILL CLINIC COMPANY, LLC

Doing business as

Sports Medicine Chestnut Hill Manayunk THMG

Practice address

10 Shurs LN Ste 204
Philadelphia, PA 19127-2123

Phone

(215) 967-1627

NPI assigned

Sep 27, 2022

Last updated

Sep 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Ehinger

Title

Sr VP Financial Operations

Phone

(484) 628-1324

Specialties & licenses 1

Addresses

Other names 1

• Sports Medicine Chestnut Hill Manayunk THMG Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Chestnut Hill Clinic Company, LLC

  dba Telemedicine Chestnut Hill Tower Health Medical Group

  • Neurology Physician
  • Philadelphia, PA
  • NPI 1285274969

  O20070109000509

  Same enrollment
• Chestnut Hill Clinic Company, LLC

  dba Behavioral Health Chestnut Hill Ave Tower Health Medical Group

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1508936071

  O20070109000509

  Same enrollment

Locations

Practitioners 208

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kareem Abed, MD, MBA

  • Hospitalist Physician
  • Philadelphia, PA
  • NPI 1770940843
  NPD
• Asyia Shareen Ahmad, MD

  • Gastroenterology Physician
  • Philadelphia, PA
  • NPI 1609824069
  NPD
• Katherine Alexander, PA-C

  • Physician Assistant
  • Wynnewood, PA
  • NPI 1215477948
  NPD
• Syed Ali

  • Emergency Medicine Physician
  • Chester, PA
  • NPI 1306334727
  NPD
• Charles A Altman, M.D.

  • Psychiatry Physician
  • Haverford, PA
  • NPI 1922367820
  NPD
• Johat Aponte, MD

  • Hospitalist Physician
  • Pittsburgh, PA
  • NPI 1033504030
  NPD
• Maria Katherine Argentine, MD

  • Family Medicine Physician
  • Media, PA
  • NPI 1053792150
  NPD
• Annamaria Autorino, MD

  • Hospitalist Physician
  • Reading, PA
  • NPI 1043659097
  NPD
• Amy E Baker, P.A.-C.

  • Medical Physician Assistant
  • Blue Bell, PA
  • NPI 1225243777
  NPD
• Munish Rai Bakshi, M.D.

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1508057365
  NPD
• Charles Barbera, M.D.

  • Emergency Medicine Physician
  • West Reading, PA
  • NPI 1851398242
  NPD
• Donna Jean Barbot, MD

  • Surgery Physician
  • Philadelphia, PA
  • NPI 1174563423
  NPD

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1811611692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SHURS LN STE 204",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191272123",
            "telephone_number": "215-967-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTNUT HILL CLINIC COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "EHINGER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SR VP FINANCIAL OPERATIONS",
        "authorized_official_telephone_number": "484-628-1324"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sports Medicine Chestnut Hill Manayunk THMG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chestnut Dental Arts
• Chestnut Dental Studios PC
• Chestnut Hill Chiropractic PC
• Chestnut Hill Clinic Company, LLC (Telemedicine Chestnut Hill Tower Health Medical Group)
• Chestnut Hill Clinic Company, LLC (Behavioral Health Chestnut Hill Ave Tower Health Medical Group)
• Chestnut Hill Clinic Company, LLC (Family Medicine Chestnut Hill Manayunk THMG)
• Chestnut Hill Dental Care (chestnut hill smiles)
• Chestnut Hill Dental, Inc.
• Chestnut Hill Emergency Associates LTD
• Chestnut Hill Eye Associates, Inc

• Sports Medicine (Family Medicine) Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Sports Medicine (Family Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.