Active NPI
Temple Physicians Inc.
- Pediatrics Physician
- Philadelphia, PA
National Provider Identifier
1952453680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- TEMPLE PHYSICIANS INC.
- Practice address
- 3300 Henry Ave
Philadelphia, PA 19129-1121 - Phone
- (215) 842-7415
- Fax
- (215) 848-1355
- NPI assigned
- Jan 16, 2007
- Last updated
- Mar 4, 2008
- Organization subpart
- Yes
- Parent organization
- TEMPLE PHYSICIANS INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lynnie Savering
- Title
- Director
- Phone
- (215) 926-9015
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | NU | Primary |
Addresses
Primary practice location
3300 Henry Ave
Philadelphia, PA 19129-1121
Mailing address
PO Box 820933
Philadelphia, PA 19182-0933
Phone (215) 926-9010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007278000079 | Medicaid | PA |
Other names 1
- TPI - Temple Children's PrimeCare Pediatrics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040310000054 | PA | Part B Supplier - Clinic/Group Practice | 2062317233 |
Receives reassigned benefits from 494 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Part of
- Temple Physicians Inc C
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204588800000",
"number": "1952453680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 820933",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191820933",
"telephone_number": "215-926-9010",
"fax_number": "215-226-8285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 HENRY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191291121",
"telephone_number": "215-842-7415",
"fax_number": "215-848-1355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEMPLE PHYSICIANS INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TEMPLE PHYSICIANS INC.",
"enumeration_date": "2007-01-16",
"last_updated": "2008-03-04",
"status": "A",
"authorized_official_last_name": "SAVERING",
"authorized_official_first_name": "LYNNIE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "215-926-9015"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007278000079",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TPI - Temple Children's PrimeCare Pediatrics",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.