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Organization Active NPI

Abington Memorial Hospital

Doing business as Abington Health Concussion

  • Sports Medicine (Family Medicine) Physician
  • Willow Grove, PA
National Provider Identifier
1861742900
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
ABINGTON MEMORIAL HOSPITAL
Doing business as
Abington Health Concussion
Practice address
2510 Maryland Rd
Suite 185
Willow Grove, PA 19090-1109
Phone
(215) 481-4323
NPI assigned
Sep 17, 2012
Last updated
Oct 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Authorized official

Name
Michael B Walsh
Title
Senior Vice President of Finance
Phone
(215) 481-2000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X NU Primary
Neurological Surgery Physician 207T00000X NU

Addresses

Primary practice location

2510 Maryland Rd
Suite 185
Willow Grove, PA 19090-1109

Mailing address

PO Box 826594
Philadelphia, PA 19182-6594
Phone (215) 481-4323

Other names 1

  • Abington Health Concussion Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180420001807 PA Part B Supplier - Clinic/Group Practice 3274437736 Receives reassigned benefits from 6 practitioners
Practice locations: Abington, PA

National Provider Directory

National Provider Directory
Tax ID family
Abington Plaza Med Asso54 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 22

Member organizations 11

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Abington Memorial HospitalAbington, PA, CCN 39S231 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 1966
Jul 1, 1966
Powerback RehabilitationAmbler, PA, CCN 395922 Skilled nursing facility Adp of the SNF Nov 1, 2014
Jefferson Health at Home by BayadaVoorhees, NJ, CCN 317073 Home health agency 5% Or Greater Indirect Ownership Interest (46.3%) Jun 6, 2022
Jefferson Health at Home by BayadaPhiladelphia, PA, CCN 397643 Home health agency 5% Or Greater Indirect Ownership Interest (46.3%) Jun 6, 2022
Jefferson Health at Home by BayadaHorsham, PA, CCN 397145 Home health agency 5% Or Greater Indirect Ownership Interest (45%) Jun 6, 2022
Jefferson Health at Home by BayadaHorsham, PA, CCN 391524B Hospice 5% Or Greater Indirect Ownership Interest (45%) Jun 6, 2022

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1861742900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 826594",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191826594",
            "telephone_number": "215-481-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 MARYLAND RD",
            "address_2": "SUITE 185",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901109",
            "telephone_number": "215-481-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABINGTON MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "215-481-2000"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abington Health Concussion",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Abington Health Concussion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Willow Grove, PA

Sources for this page

Verify at the official NPI Registry.