NPIMap

Organization Active NPI

TPS III of PA, LLC

Doing business as Hahnemann Primary Services

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1902841018
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TPS III OF PA, LLC
Doing business as
Hahnemann Primary Services
Practice address
231 N Broad St
1St, Floor
Philadelphia, PA 19107-1511
Phone
(215) 557-0212
Fax
(215) 557-0508
NPI assigned
Jun 20, 2006
Last updated
Jul 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Authorized official

Name
Mr. Wesley O. James
Title
Regional Cfo, Tenet
Phone
(404) 265-5009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

231 N Broad St
1St, Floor
Philadelphia, PA 19107-1511

Mailing address

PO Box 827794
Philadelphia, PA 19182-7794
Phone (215) 546-5000

Other names 1

  • Hahnemann Primary Services Doing business as

National Provider Directory

National Provider Directory

Locations

1008 Arch St
Philadelphia, PA 19107
Phone (215) 268-7755

231 N Broad St
#1
Philadelphia, PA 19107
Phone (215) 557-0212

231 N Broad St
Fl 1
Philadelphia, PA 19107
Phone (215) 557-0212

Practitioners & affiliated clinicians

Practitioners 9

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": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1902841018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 827794",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191827794",
            "telephone_number": "215-546-5000",
            "fax_number": "215-546-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 N BROAD ST",
            "address_2": "1ST, FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071511",
            "telephone_number": "215-557-0212",
            "fax_number": "215-557-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TPS III OF PA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "REGIONAL CFO, TENET",
        "authorized_official_telephone_number": "404-265-5009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hahnemann Primary Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.