Valley Forge Surgical

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

VALLEY FORGE SURGICAL

Practice address

824 Main St
Suite 300
Phoenixville, PA 19460-4478

Phone

(610) 935-7772

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Anne Coyne

Title

Office Manager

Phone

(610) 935-7772

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1881807337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 MAIN ST",
            "address_2": "SUITE 300",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604478",
            "telephone_number": "610-935-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 MAIN ST",
            "address_2": "SUITE 300",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604478",
            "telephone_number": "610-935-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY FORGE SURGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "COYNE",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-935-7772"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Ariel Tully, CRNP
• Rajendra Tummala
• Valley Forge Facial Plastic Surgery ENT
• Valley Forge Family Chiropractic
• Valley Forge OB/GYN Division
• Valley Forge Urological Assn., P.C.
• Valley Forge Volunteer Fire Company (West End Fire Company Number 3)
• Gregory W Vallino, O.D.
• Heather Anne Vallino, O.D.
• Michael Van Etten, PA-C

• Surgery Physician in Phoenixville, PA
• Providers in Phoenixville, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.