Mercy Suburban Hospital

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MERCY SUBURBAN HOSPITAL

Practice address

530 Church St
2ND Floor
Norristown, PA 19401-4811

Phone

(610) 275-7240

Fax

(610) 275-1381

NPI assigned

Oct 31, 2005

Organization subpart

No

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

Authorized official

Name

Douglas C Smith

Title

V.P., Pat. Financial Services

Phone

(610) 567-6967

Specialties & licenses 2

Addresses

Other identifiers 7

Other names 1

• Mercy Suburban Family Practice Center Doing business as

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael A Becker, D.O.

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1265403349
  NPD (past)
• Michael Kouyoumdjian, D.O.

  • Family Medicine Physician
  • Norristown, PA
  • NPI 1316938053
  NPD (past)
• Jeanne M Sandella, DO

  • Family Medicine Physician
  • Collegeville, PA
  • NPI 1689664088
  NPD (past)

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1821089848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W ELM ST",
            "address_2": "SUITE 100",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282007",
            "telephone_number": "610-567-6967",
            "fax_number": "610-567-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 CHURCH ST",
            "address_2": "2ND FLOOR",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194014811",
            "telephone_number": "610-275-7240",
            "fax_number": "610-275-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY SUBURBAN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "V.P., PAT. FINANCIAL SERVICES",
        "authorized_official_telephone_number": "610-567-6967"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KMHP",
            "identifier": "100136",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "202259700",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "594466",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "X0004043 01",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUSHC CAP NUMBER",
            "identifier": "85753",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTHPLAN EAST",
            "identifier": "0222562002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007277020017",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Suburban Family Practice Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercy Suburban Hospital
• Mercy Suburban Hospital
• Mercy Suburban Hospital
• Mercy Suburban Hospital
• Mercy Suburban Hospital
• Martha Laydon Merritt, RPH
• Tiffany Messner, DPT
• Methacton School District
• Mexims Inc
• Sarah Elizabeth Miccolis, RN

• Family Medicine Physician in Norristown, PA
• Providers in Norristown, 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 Oct 20, 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.