My Pediaheart Care Partner Inc.

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

Legal business name

MY PEDIAHEART CARE PARTNER INC.

Practice address

2418 E York St
Philadelphia, PA 19125-3006

Phone

(267) 908-5535

NPI assigned

Mar 29, 2021

Organization subpart

No

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

Authorized official

Name

Cheryl Evelyn Cammock, MD

Title

President

Phone

(267) 908-5535

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24135/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Cheryl Evelyn Ross-Cammock, MD

  • Pediatric Cardiology Physician
  • Palo Alto, CA
  • NPI 1689615015
  NPD

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1871171223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7808",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191017808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 E YORK ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191253006",
            "telephone_number": "267-908-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY PEDIAHEART CARE PARTNER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-06-04",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "CAMMOCK",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "EVELYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-908-5535",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Cardiology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pediatric Cardiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.