Philadelphia Gastroenterology Consultants LTD.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

PHILADELPHIA GASTROENTEROLOGY CONSULTANTS LTD.

Practice address

700 Cottman Ave
Suite 201
Philadelphia, PA 19111-3062

Phone

(215) 742-9900

Fax

(215) 742-7051

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark S. Tanker, D.O.

Title

President

Phone

(215) 742-9900

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FCCEBA

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1861425613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 COTTMAN AVE",
            "address_2": "SUITE 201",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113062",
            "telephone_number": "215-742-9900",
            "fax_number": "215-742-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 COTTMAN AVE",
            "address_2": "SUITE 201",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113062",
            "telephone_number": "215-742-9900",
            "fax_number": "215-742-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA GASTROENTEROLOGY CONSULTANTS LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "TANKER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-742-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001647855/0005",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001647855/0004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philadelphia Fight
• Philadelphia Fight
• Philadelphia Foot and Ankle Associates, PLLC
• Philadelphia Foot and Ankle LLC
• Philadelphia Foot and Ankle PC
• Philadelphia Gastroenterology Group, P.C.
• Philadelphia Headache Relief Center
• Philadelphia Health & Education
• Philadelphia Health & Education Corp
• Philadelphia Health & Education Corp

• Gastroenterology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Gastroenterology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.