Jedward Pckering,Facc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

007173E Issued in PA

Legal business name

JEDWARD PCKERING,FACC

Practice address

100 E Lancaster Ave
Suite 316 Lankenau Med BLDG
Wynnewood, PA 19096-3450

Phone

(610) 642-0100

Fax

(610) 642-0919

NPI assigned

Dec 27, 2006

Last updated

Jun 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jack Pickering, M.D.

Title

Owner

Phone

(610) 642-0100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1912062027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "address_2": "316 LANKENAU MED BLDG",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "610-642-0100",
            "fax_number": "610-642-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "address_2": "SUITE 316 LANKENAU MED BLDG",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "610-642-0100",
            "fax_number": "610-642-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEDWARD PCKERING,FACC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "PICKERING",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-642-0100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "007173E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaurav Jain, M.D.
• Aria Jalalian
• James a Morris MD LLC
• Drew Asa Jamison, D.C.
• Aileen J Jasko Joyce, CRNP
• Michael Jen, DO
• Myrna Jersild
• Jamie A Jessar, PSY.D.
• Kelli Joerger, PA-C
• Ruth Tomases Joffe, PH.D.

• Clinic/Center in Wynnewood, PA
• Providers in Wynnewood, PA by specialty
• Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.