Active NPI
F a McGowan & R D Lee
- Family Medicine Physician
- Collingdale, PA
National Provider Identifier
1902964455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS006159-L
- Legal business name
- F A MCGOWAN & R D LEE
- Practice address
- 115 Clifton Ave
Collingdale, PA 19023-3809 - Phone
- (610) 586-1919
- Fax
- (610) 586-6947
- NPI assigned
- Dec 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Reginald Donald Lee, D. O.
- Title
- Physician
- Phone
- (610) 586-1919
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS006159-L | PA | Primary |
Addresses
Primary practice location
115 Clifton Ave
Collingdale, PA 19023-3809
Mailing address
115 Clifton Ave
Collingdale, PA 19023-3809
Phone (610) 586-1919
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0307511001 | Other | PA | INDEPENDENCE BLUE CROSS |
| D 19240 | Other | PA | INTER-COUNTY HEALTH HOS |
| 098616 | Other | PA | AETNA U S HEALTHCARE |
| 1141676 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
115 Clifton Ave
Collingdale, PA 19023
Phone (610) 586-1919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1902964455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 CLIFTON AVE",
"city": "COLLINGDALE",
"state": "PA",
"postal_code": "190233809",
"telephone_number": "610-586-1919",
"fax_number": "610-586-6947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 CLIFTON AVE",
"city": "COLLINGDALE",
"state": "PA",
"postal_code": "190233809",
"telephone_number": "610-586-1919",
"fax_number": "610-586-6947"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "F A MCGOWAN & R D LEE",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "REGINALD",
"authorized_official_middle_name": "DONALD",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "610-586-1919",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D. O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "PA",
"license": "OS006159-L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "0307511001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTER-COUNTY HEALTH HOS",
"identifier": "D 19240",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA U S HEALTHCARE",
"identifier": "098616",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1141676",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Collingdale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.