NPIMap

Individual provider Active NPI

Ephraim Dunn, D. O.

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1932536232
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS017795 Issued in PA
Practice address
2101 W Lehigh Ave Ste a
Philadelphia, PA 19132
Phone
(264) 866-7211
Fax
(305) 698-6536
NPI assigned
Oct 1, 2013
Last updated
Aug 2, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 207Q000X NJ
Family Medicine Physician 207Q00000X OS017795 PA Primary

Addresses

Primary practice location

2101 W Lehigh Ave Ste a
Philadelphia, PA 19132

Mailing address

2101 W Lehigh Ave Ste a
Philadelphia, PA 19132-2664
Phone (264) 866-7211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150921002093 PA Practitioner - Family Practice 0749597920 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

499 Wyoming Ave
Kingston, PA 18704-3602
Phone (570) 283-2161

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
207Q000XNJMDFamily Medicine Physician
OS017795PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Integrative Medicine, LLC CurrentSince May 1, 2018 Accepting new patients
Geisinger Clinic Family Medicine CurrentSince Dec 16, 2024 Accepting new patients
Geisinger Clinic Family Medicine Current Accepting new patients
Dedicated Pennsylvania Holding, LLC CurrentSince Jul 9, 2018 Accepting new patients
Dedicated Pennsylvania Holding, LLC Current Accepting new patients
Geisinger Clinic CurrentSince Dec 16, 2024 Accepting new patients
Main Line Medical Group LTD Family Medicine CurrentSince Nov 1, 2020 Accepting new patients
Monarch Medical, LLC CurrentSince May 1, 2018 Accepting new patients
Dedicated Pennsylvania Holding, LLC Family Medicine CurrentSince Jul 9, 2018 Accepting new patients
Pennsylvania Urgent Care Centers, PLLC CurrentSince Apr 4, 2018 Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

100 N Academy Ave
Danville, PA 17822

150 E Pennsylvania Ave
Ste 140
Downingtown, PA 19335
Phone (610) 518-1060

499 Wyoming Ave
Kingston, PA 18704
Phone (570) 283-2161

857 Montgomery Ave
Penn Valley, PA 19072
Phone (610) 664-2951

2101 W Lehigh Ave
Ste A
Philadelphia, PA 19132
Phone (267) 866-7211

5675 N Front St
Ste 141
Philadelphia, PA 19120
Phone (267) 338-3411

265 Schuylkill Rd
Phoenixville, PA 19460
Phone (610) 935-4350

2848 W Moreland Rd
Willow Grove, PA 19090
Phone (267) 495-5455

Interoperability endpoints

  • Direct secure messaging: edunn618506@direct.geisinger.edu

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1932536232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 W LEHIGH AVE STE A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191322664",
            "telephone_number": "264-866-7211",
            "fax_number": "305-698-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 W LEHIGH AVE STE A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19132",
            "telephone_number": "264-866-7211",
            "fax_number": "305-698-6536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "EPHRAIM",
        "name_prefix": "Dr.",
        "credential": "D. O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-01",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "207Q000X",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS017795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.