HR Physician Services
Organization Active NPI Family Medicine Physician · Feasterville, PA
NPI 1962497131 · NPPES record last updated Dec 1, 2016
Key facts
- NPI
- 1962497131
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 232523377 (PA)
- Legal business name
- HR PHYSICIAN SERVICES
- Practice address
- 23 Bustleton Avenue
Suite 100
Feasterville, PA 19053 - Phone
- (215) 464-9599
- Fax
- (215) 464-7865
- NPI assigned
- Sep 14, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Russell R. Wagner
- Title
- Executive Vice President, Finance
- Phone
- (215) 856-1114
Other NPIs on the same Medicare enrollment 40
Corporate family (same tax ID) 27
Practitioners 7
-
Larry Warren Cohen, M.D.
-
Dominick A. Commodaro, D.O.
-
Andrew Matthews, M.D.
-
Kathy M Sakautzki, C.R.N.P.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040311000028 | PA | Part B Supplier - Clinic/Group Practice | 0042109902 |
Receives reassigned benefits from 373 practitioners 40 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Philadelphia, PA; Meadowbrook, PA; Richboro, PA; Rockledge, PA; Southampton, PA; Warminster, PA; Warmister, PA; Willow Grove, PA… |
National Provider Directory
- Tax ID family
- Redeemer Pennypack Med
Locations
23 Bustleton Pike
Ste 100
Feasterville Trevose, PA 19053
Phone (215) 464-9599
14425 Bustleton Ave
Philadelphia, PA 19116
Phone (215) 464-9599
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 232523377 | PA | Yes |
Addresses
Primary practice location
23 Bustleton Avenue
Suite 100
Feasterville, PA 19053
Mailing address
PO Box 8500
Box #4801
Philadelphia, PA 19178-4081
Phone (215) 856-1010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0098660 | Other | PA | AETNA US HEALTHCARE |
| 0391360001 | Other | PA | KEYSTONE HEALTH PLAN EAST |
| 100416 | Medicaid | PA |
Other names
- Somerton Family Medical Associates
Other providers in Feasterville, PA
- Health Specialties Inc
- Thomas Heston
- John A. Hogan
- HR Physician Services
- HR Physician Services
- Infinity of Care, Inc
- Donald E Jennings
- Andrey Kurudimov
- Tatiana Kurudimova
- Daniel Frank Lavanga
All providers in Feasterville, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.