Jeanes Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

101301 Issued in PA

Legal business name

JEANES HOSPITAL

Practice address

7600 Central Ave
Philadelphia, PA 19111-2442

Phone

(215) 728-3306

Fax

(215) 728-3322

NPI assigned

Jun 15, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Ray Lefton

Title

Cfo

Phone

(215) 728-3306

Specialties & licenses 1

Addresses

Other identifiers 3

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Temple University of the Commonwealth System of Higher Education

  • Clinical Pathology/Laboratory Medicine Physician
  • Philadelphia, PA
  • NPI 1629067376

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1912902206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 CENTRAL AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112442",
            "telephone_number": "215-728-3306",
            "fax_number": "215-728-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 CENTRAL AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112442",
            "telephone_number": "215-728-3306",
            "fax_number": "215-728-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANES HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "LEFTON",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "215-728-3306",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "101301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005061110008",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "0001015000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1468",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean'S Serenity Studio Co.
• Murka Jeancharles, MD
• Jeanes Hospital
• Jeanes Hospital
• Jeanes Hospital
• Jeanes Radiology Associates
• Jeanes Radiology Associates
• Jeanes Radiology Associates LLC
• Doris Jeanette
• Carissa M Jeannette, DO

• General Acute Care Hospital in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Acute Care Hospital in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.