NPIMap

Organization Active NPI

G.O. Medical Associates

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1851310049
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD028041E Issued in PA
Legal business name
G.O. MEDICAL ASSOCIATES
Practice address
1216 N Broad St
Philadelphia, PA 19121-5103
Phone
(215) 236-7530
Fax
(215) 236-8206
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Authorized official

Name
Dr. George Oommen, M.D.
Title
Owner
Phone
(215) 236-7530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD028041E PA Primary

Addresses

Primary practice location

1216 N Broad St
Philadelphia, PA 19121-5103

Mailing address

1216 N Broad St
Philadelphia, PA 19121-5103
Phone (215) 236-7530

National Provider Directory

National Provider Directory

Locations

1216 N Broad St
Philadelphia, PA 19121
Phone (215) 236-7530

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1851310049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191215103",
            "telephone_number": "215-236-7530",
            "fax_number": "215-236-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191215103",
            "telephone_number": "215-236-7530",
            "fax_number": "215-236-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.O. MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "OOMMEN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-236-7530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD028041E",
            "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 Jul 10, 2013; 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.