Parkwood Medical Practice PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS007829L Issued in PA

Legal business name

PARKWOOD MEDICAL PRACTICE PC

Practice address

12401 Academy Rd
Suite 203
Philadelphia, PA 19154-1932

Phone

(215) 637-3100

Fax

(215) 637-7310

NPI assigned

Mar 19, 2007

Last updated

Dec 4, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hal B Ganzman, D.O.NPI 1285794545

Title

Owner

Phone

(215) 637-3100

Specialties & licenses 1

Addresses

Locations

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.

• Hal Bradley Ganzman, D.O.

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1285794545
  NPD (past) Authorized official

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1861516528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 ACADEMY RD",
            "address_2": "SUITE 203",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191541932",
            "telephone_number": "215-637-3100",
            "fax_number": "215-637-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 ACADEMY RD",
            "address_2": "SUITE 203",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191541932",
            "telephone_number": "215-637-3100",
            "fax_number": "215-637-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWOOD MEDICAL PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "GANZMAN",
        "authorized_official_first_name": "HAL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-637-3100",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS007829L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan M. Parks, M.D.
• Parkstone Medical Associates
• Parkway Psychotherapy Associates
• Parkway Surgery Center
• Parkwood Family Chiropractic, Inc.
• Terrell Parlin
• Michael S Parmacek, MD
• Jonathan Parmet, MD
• Dandre Parmley
• Christopher Parncutt

• 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 Dec 4, 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.