Abington Memorial Hospital

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ABINGTON MEMORIAL HOSPITAL

Doing business as

BuxMont Primary Care

Practice address

501 Street Rd
Suite 101
Southampton, PA 18966-3796

Phone

(215) 357-5780

Fax

(215) 364-8983

NPI assigned

May 10, 2016

Last updated

Oct 10, 2022By 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

Michael B Walsh

Title

Senior VP Finance

Phone

(215) 481-2850

Specialties & licenses 1

Addresses

Other names 1

• BuxMont Primary Care Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1922454818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 826594",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191826594",
            "telephone_number": "215-357-5780",
            "fax_number": "215-364-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 STREET RD",
            "address_2": "SUITE 101",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663796",
            "telephone_number": "215-357-5780",
            "fax_number": "215-364-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABINGTON MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SENIOR VP FINANCE",
        "authorized_official_telephone_number": "215-481-2850"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BuxMont Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BuxMont Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 5 Star Pharmacy & Medical Supply Inc (5 Star Pharmacy & Medical Supply)
• A & M Medical Supply, Inc
• Aaron Shiloh, MD LLC
• Abington Memorial Hospital (Medical Associates of Southampton)
• Abington Memorial Hospital (Jerry M. Roth M.D. F.A.C.P.)
• Ilissa Abovitz, M.S. CCC-SLP
• Allison Abraham, PSY.D.
• Absolute Smile
• Absolute Wellness & Beauty
• Ace Care Inc

• Internal Medicine Physician in Southampton, PA
• Providers in Southampton, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.