Active NPI
Mt Airy Family Practice
- Family Medicine Physician
- Philadelphia, PA
National Provider Identifier
1831104405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD041004E
- Legal business name
- MT AIRY FAMILY PRACTICE
- Practice address
- 760 Carpenter LN
Philadelphia, PA 19119-3406 - Phone
- (215) 848-6880
- Fax
- (215) 848-3333
- NPI assigned
- Jul 30, 2006
- Last updated
- Aug 22, 2020
- 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
- Dr. Thomas Lyon, MD
- Title
- Managing Partner
- Phone
- (215) 848-6880
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD041004E | PA | Primary |
Addresses
Primary practice location
760 Carpenter LN
Philadelphia, PA 19119-3406
Mailing address
760 Carpenter LN
Philadelphia, PA 19119-3406
Phone (215) 848-6880
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1740229954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1831104405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 CARPENTER LN",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191193406",
"telephone_number": "215-848-6880",
"fax_number": "215-848-3333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 CARPENTER LN",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191193406",
"telephone_number": "215-848-6880",
"fax_number": "215-848-3333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MT AIRY FAMILY PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LYON",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "215-848-6880",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD041004E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.