Active NPI
Abington Memorial Hospital
Doing business as Feasterville Family Health Care Center
- Family Medicine Physician
- Feasterville, PA
National Provider Identifier
1821042912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ABINGTON MEMORIAL HOSPITAL
- Doing business as
- Feasterville Family Health Care Center
- Practice address
- 1665 Bustleton Pike
Feasterville, PA 19053-7305 - Phone
- (215) 355-9770
- Fax
- (215) 355-2246
- NPI assigned
- May 22, 2006
- Last updated
- Oct 10, 2022
- 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
- Michael B Walsh
- Title
- Senior VP Finance
- Phone
- (215) 481-2850
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1665 Bustleton Pike
Feasterville, PA 19053-7305
Mailing address
PO Box 826594
Philadelphia, PA 19182-6594
Phone (215) 355-9770
Other names 1
- Feasterville Family Health Care Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0196363 | Feasterville Family Health Care Center | Certificate of waiver | Jul 28, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665360000000",
"number": "1821042912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 826594",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191826594",
"telephone_number": "215-355-9770",
"fax_number": "215-355-2246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1665 BUSTLETON PIKE",
"city": "FEASTERVILLE",
"state": "PA",
"postal_code": "190537305",
"telephone_number": "215-355-9770",
"fax_number": "215-355-2246"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABINGTON MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-22",
"last_updated": "2022-10-10",
"certification_date": "2022-10-10",
"status": "A",
"authorized_official_last_name": "WALSH",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "SENIOR VP FINANCE",
"authorized_official_telephone_number": "215-481-2850"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Feasterville Family Health Care Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Feasterville Family Health Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Feasterville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.