Chestnut Hill Clinic Company, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CHESTNUT HILL CLINIC COMPANY, LLC

Doing business as

Family Medicine Chestnut Hill Manayunk THMG

Practice address

10 Shurs LN Ste 203
Philadelphia, PA 19127-2123

Phone

(215) 482-1234

NPI assigned

Aug 23, 2022

Last updated

Aug 23, 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

Robert Ehinger

Title

VP Financial Operations

Phone

(484) 628-1324

Specialties & licenses 1

Addresses

Other names 1

• Family Medicine Chestnut Hill Manayunk THMG Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Chestnut Hill Clinic Company2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Chestnut Hill Clinic Company, LLC

  dba Telemedicine Chestnut Hill Tower Health Medical Group

  • Neurology Physician
  • Philadelphia, PA
  • NPI 1285274969
  NPD tax ID

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1922727197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SHURS LN STE 203",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191272123",
            "telephone_number": "215-482-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTNUT HILL CLINIC COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "EHINGER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VP FINANCIAL OPERATIONS",
        "authorized_official_telephone_number": "484-628-1324"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medicine Chestnut Hill Manayunk THMG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chestnut Dental Studios PC
• Chestnut Hill Chiropractic PC
• Chestnut Hill Clinic Company, LLC (Telemedicine Chestnut Hill Tower Health Medical Group)
• Chestnut Hill Clinic Company, LLC (Behavioral Health Chestnut Hill Ave Tower Health Medical Group)
• Chestnut Hill Clinic Company, LLC (Sports Medicine Chestnut Hill Manayunk THMG)
• Chestnut Hill Dental Care (chestnut hill smiles)
• Chestnut Hill Dental, Inc.
• Chestnut Hill Emergency Associates LTD
• Chestnut Hill Eye Associates, Inc
• Chestnut Hill Hospital, LLC (Chestnut Hill Hospital)

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.