Organization Active NPI

West Grove Hospital Corporation

Doing business as Jennersville Surgical Associates

  • Surgery Physician
  • West Grove, PA
National Provider Identifier
1932163938
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
WEST GROVE HOSPITAL CORPORATION
Doing business as
Jennersville Surgical Associates
Practice address
1011 W Baltimore Pike
Suite 307
West Grove, PA 19390-9446
Phone
(610) 869-1240
Fax
(610) 869-1242
NPI assigned
Apr 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gary Douglas Newsome
Title
Group VP
Phone
(615) 465-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1011 W Baltimore Pike
Suite 307
West Grove, PA 19390-9446

Mailing address

1011 W Baltimore Pike
Suite 307
West Grove, PA 19390-9446
Phone (610) 869-1240

Other names 1

  • Jennersville Surgical Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1011 W Baltimore Pike
Ste 303
West Grove, PA 19390
Phone (610) 696-1230

1011 W Baltimore Pike
Ste 307
West Grove, PA 19390
Phone (610) 869-1240

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932163938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W BALTIMORE PIKE",
            "address_2": "SUITE 307",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193909446",
            "telephone_number": "610-869-1240",
            "fax_number": "610-869-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W BALTIMORE PIKE",
            "address_2": "SUITE 307",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193909446",
            "telephone_number": "610-869-1240",
            "fax_number": "610-869-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GROVE HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "GROUP VP",
        "authorized_official_telephone_number": "615-465-7000"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennersville Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Grove, PA

Sources for this page

  • 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.