NPIMap

Organization Active NPI

Abington Memorial Hospital

Doing business as Hartsville Medical Practice

  • Family Medicine Physician
  • Warrington, PA
National Provider Identifier
1891749685
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ABINGTON MEMORIAL HOSPITAL
Doing business as
Hartsville Medical Practice
Practice address
1380 Easton Rd
Warrington, PA 18976-1818
Phone
(215) 491-5063
Fax
(215) 491-5066
NPI assigned
May 19, 2006
Last updated
Oct 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 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 VP Finance
Phone
(215) 481-2850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1380 Easton Rd
Warrington, PA 18976-1818

Mailing address

PO Box 826594
Philadelphia, PA 19182-6594
Phone (215) 491-5063

Other names 1

  • Hartsville Medical Practice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040114000442 PA Part B Supplier - Clinic/Group Practice 3274437736 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
Practice locations: Abington, PA; Warrington, PA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1000385Hartsville Medical Practice1380 Easton Road, Warrington, PA 18976Certificate of waiverJun 16, 2028

National Provider Directory

National Provider Directory
Tax ID family
Brecher and Knapp54 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

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

View all 18

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 10

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": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1891749685",
    "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": "215-491-5063",
            "fax_number": "215-491-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 EASTON RD",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189761818",
            "telephone_number": "215-491-5063",
            "fax_number": "215-491-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABINGTON MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SENIOR VP FINANCE",
        "authorized_official_telephone_number": "215-481-2850"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hartsville Medical Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hartsville Medical Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warrington, PA

Sources for this page

Verify at the official NPI Registry.