Abington Memorial Hospital
Organization Active NPI Family Medicine Physician · Warrington, PA
NPI 1891749685 · NPPES record last updated Oct 10, 2022
Key facts
- NPI
- 1891749685
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ABINGTON MEMORIAL HOSPITAL
- Practice address
- 1380 Easton Rd
Warrington, PA 18976-1818 - Phone
- (215) 491-5063
- Fax
- (215) 491-5066
- NPI assigned
- May 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Michael B Walsh
- Title
- Senior VP Finance
- Phone
- (215) 481-2850
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 18
Practitioners 10
-
Craig Robert Grossman, M.D.
-
Michael Wolfgang Lake, M.D.
-
Susan Packer, MD
-
Rajesh R Patel, MD
-
Michael J Reilly, DO
-
William L. Ward, DO
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D1000385 | Hartsville Medical Practice | Certificate of waiver | Jun 16, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
All facility ownership & control disclosures 6
| Facility | Type | Role | Since |
|---|---|---|---|
| Abington Memorial Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jul 1, 1966 Jul 1, 1966 |
| Powerback Rehabilitation |
Skilled nursing facility | Adp of the SNF | Nov 1, 2014 |
| Jefferson Health at Home by Bayada |
Home health agency | 5% Or Greater Indirect Ownership Interest (46.3%) | Jun 6, 2022 |
| Jefferson Health at Home by Bayada |
Home health agency | 5% Or Greater Indirect Ownership Interest (46.3%) | Jun 6, 2022 |
| Jefferson Health at Home by Bayada |
Home health agency | 5% Or Greater Indirect Ownership Interest (45%) | Jun 6, 2022 |
| Jefferson Health at Home by Bayada |
Hospice | 5% Or Greater Indirect Ownership Interest (45%) | Jun 6, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Abington Adult Medical
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
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
- Hartsville Medical Practice
Other providers in Warrington, PA
- Alba Agramonte
- Albert C. Latorre, Jr. D.D.S.
- Rana Alneaimy
- Jeffrey M. Alpart
- Angel Transport of Buxmont LLC
All providers in Warrington, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.