NPIMap

Organization Active NPI

Lose Weight 1 LLC

  • Family Medicine Physician
  • Berwyn, PA
National Provider Identifier
1851644942
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LOSE WEIGHT 1 LLC
Doing business as
Medi-Weightloss Clinics
Practice address
901 Lancaster Ave
Suite 100
Berwyn, PA 19312-1710
Phone
(610) 251-2525
Fax
(610) 251-2599
NPI assigned
Oct 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Authorized official

Name
Dr. Stephen Paul Krell, M.D.
Title
Medical Director
Phone
(610) 251-2525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

901 Lancaster Ave
Suite 100
Berwyn, PA 19312-1710

Mailing address

901 Lancaster Ave
Suite 100
Berwyn, PA 19312-1710
Phone (610) 251-2525

Other names 1

  • Medi-Weightloss Clinics Doing business as

National Provider Directory

National Provider Directory

Locations

901 Lancaster Ave
#100
Berwyn, PA 19312
Phone (610) 251-2525

Practitioners & affiliated clinicians

Practitioners 5

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": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1851644942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 LANCASTER AVE",
            "address_2": "SUITE 100",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121710",
            "telephone_number": "610-251-2525",
            "fax_number": "610-251-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 LANCASTER AVE",
            "address_2": "SUITE 100",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121710",
            "telephone_number": "610-251-2525",
            "fax_number": "610-251-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOSE WEIGHT 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "KRELL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "610-251-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medi-Weightloss Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berwyn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.