Spuc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD449261 Issued in PA

Legal business name

SPUC

Practice address

1444 W Passyunk Ave
Philadelphia, PA 19145-2312

Phone

(215) 964-9250

Fax

(215) 964-9445

NPI assigned

Mar 16, 2015

Organization subpart

No

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

Authorized official

Name

Mabel Evons

Title

Manager

Phone

(610) 518-1060

Specialties & licenses 1

Addresses

Other names 1

• Doctors Express Doing business as

Practitioners 1

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

• Madhavi Cherukuri, M.D.

  • Family Medicine Physician
  • Downingtown, PA
  • NPI 1629092390
  NPD

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1851784896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 W PASSYUNK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452312",
            "telephone_number": "215-964-9250",
            "fax_number": "215-964-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 W PASSYUNK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452312",
            "telephone_number": "215-964-9250",
            "fax_number": "215-964-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPUC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "EVONS",
        "authorized_official_first_name": "MABEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "610-518-1060"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD449261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Express",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sprout Therapeutics LLC
• Spruce Chiropractic Health Center, P.C.
• Spruce Medical Center
• Spruce MRI Associates
• Laura Sprunt
• Spuc, LLC
• Peter D Spurrell
• Nicholas George Spyropoulos, DO
• Sqa Pharmacy Services LLC
• Squad a, LLC

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, 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 Mar 16, 2015; 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.