NPIMap

Organization Active NPI

Surgical Care Associates

  • Surgery Physician
  • Upland, PA
National Provider Identifier
1962415885
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SURGICAL CARE ASSOCIATES
Practice address
One Medical Center Blvd
Suite 241
Upland, PA 19013
Phone
(610) 619-7400
Fax
(610) 872-4015
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Mary Lou Patton, MD
Title
President
Phone
(610) 619-7400

Specialties & licenses 1

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

Addresses

Primary practice location

One Medical Center Blvd
Suite 241
Upland, PA 19013

Mailing address

One Medical Center Blvd
Suite 241
Upland, PA 19013
Phone (610) 619-7400

Other identifiers 3

IdentifierTypeStateIssuer
6407803MedicaidNJ
0015116790003MedicaidPA
1000039665MedicaidDE

National Provider Directory

National Provider Directory

Locations

1 Medical Center Blvd
Ste 241
Chester, PA 19013
Phone (610) 619-7400

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1962415885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER BLVD",
            "address_2": "SUITE 241",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "19013",
            "telephone_number": "610-619-7400",
            "fax_number": "610-872-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER BLVD",
            "address_2": "SUITE 241",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "19013",
            "telephone_number": "610-619-7400",
            "fax_number": "610-872-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "MARY LOU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-619-7400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6407803",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015116790003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000039665",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.