TPS IV of PA, LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

OS010515L Issued in PA

Legal business name

TPS IV OF PA, LLC

Practice address

Broad & Vine STS
Philadelphia, PA 19102

Phone

(215) 762-7000

NPI assigned

Jun 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul L O'Donnell, D.O.

Title

Surgeon

Phone

(215) 762-4315

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tun Tin Htaik, MD

  • Diagnostic Radiology Physician
  • Philadelphia, PA
  • NPI 1376712315
  NPD (past)

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922201441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N 15TH STREET",
            "address_2": "MS 989",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19102",
            "telephone_number": "215-762-4315",
            "fax_number": "215-762-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BROAD & VINE STS",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19102",
            "telephone_number": "215-762-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TPS IV OF PA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'DONNELL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "215-762-4315",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "OS010515L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayoola Nekesa Toyer
• Yoshiya Toyoda, MD,PHD
• Nicholas Anthony Tozzi
• TPS II of PA, LLC
• TPS III of PA, LLC
• TPS IV of PA., LLC
• Edouard J. Trabulsi, M.D.
• Karen May Trabulsi, M.D.
• Tracemark Pharmacy
• Tracey Jones, M.D., P.C.

• 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 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.

Verify at the official NPI Registry.