Individual provider Active NPI

Mark Ansley, M.D.

  • Diagnostic Radiology Physician
  • Bristol, PA
National Provider Identifier
1821093907
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD040362E Issued in PA
Practice address
501 Bath Rd
Bristol, PA 19007-3101
Phone
(215) 785-9070
Fax
(215) 785-9021
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD040362E PA Primary

Addresses

Primary practice location

501 Bath Rd
Bristol, PA 19007-3101

Mailing address

501 Bath Rd
Bristol, PA 19007-3101
Phone (215) 785-9070

Other identifiers 1

IdentifierTypeStateIssuer
0012429370001MedicaidPA

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
I20040419000270 PA Practitioner - Diagnostic Radiology 7719972827 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD040362EPAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
E H Managment Company , Inc Diagnostic Radiology CurrentSince Jan 1, 2015 Accepting new patients
Radiology Affiliates of Central New Jersey PC Diagnostic Radiology CurrentSince Nov 14, 2018 Accepting new patients
Pinnacle Physicians Group LLC Diagnostic Radiology CurrentSince Jan 25, 2014 Accepting new patients
HR Physician Services CurrentSince Jan 1, 2020 Accepting new patients
HR Physician Services CurrentSince Nov 1, 2019 Accepting new patients
Imaging Group of Delaware, PA Diagnostic Radiology Past Accepting new patients
Brait Partnow Margolin & Sharetts MDS PA Diagnostic Radiology Past Accepting new patients
American Diagnostics Services LLC Diagnostic Radiology Past Accepting new patients

Locations

501 Bath Rd
Bristol, PA 19007
Phone (215) 785-9200

5363 Oxford Ave
Philadelphia, PA 19124
Phone (215) 288-0707

5800 Ridge Ave
Philadelphia, PA 19128
Phone (215) 487-4334

9908 Roosevelt Blvd
Philadelphia, PA 19115
Phone (215) 464-3300

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

700 Quincy Ave
Scranton, PA 18510
Phone (570) 340-2100

339 E Street Rd
Trevose, PA 19053
Phone (215) 464-4111

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1821093907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BATH RD",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190073101",
            "telephone_number": "215-785-9070",
            "fax_number": "215-785-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BATH RD",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190073101",
            "telephone_number": "215-785-9070",
            "fax_number": "215-785-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSLEY",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD040362E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012429370001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, PA

Sources for this page

Verify at the official NPI Registry.