Philadelphia Hand Surgeon PLLC

Primary specialty

Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X

Legal business name

PHILADELPHIA HAND SURGEON PLLC

Practice address

1068 W Baltimore Pike Ste 3415
Media, PA 19063-5104

Phone

(484) 444-2243

Fax

(484) 444-8939

NPI assigned

Aug 24, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Julia Mayberry, MDNPI 1912175027

Title

MD/Owner

Phone

(484) 444-2243

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GEDIDD

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julia Mayberry, MD

  • Surgery of the Hand (Surgery) Physician
  • Wynnewood, PA
  • NPI 1912175027
  Medicare reassignment Care Compare group NPD Authorized official
• Christopher Clark, OTR/L

  • Occupational Therapist
  • Glen Mills, PA
  • NPI 1285088385
  Medicare reassignment Care Compare group NPD
• Erum N Ilyas, MD

  • Dermatology Physician
  • King of Prussia, PA
  • NPI 1003800541
  NPD (past)

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972020642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 W BALTIMORE PIKE STE 3415",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635104",
            "telephone_number": "484-444-2243",
            "fax_number": "484-444-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 W BALTIMORE PIKE STE 3415",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635104",
            "telephone_number": "484-444-2243",
            "fax_number": "484-444-8939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA HAND SURGEON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MAYBERRY",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "484-444-2243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Daniel Petrone, LPC
• Sarah Pettit, M.S., CCC-SLP
• Enid Peura, LCSW
• Camilla Elizabeth Pharamond, CNM RN
• Heather Phelps, LPC
• Rose Philippe, RBT
• Rebekah Phillips, LPS
• Isaac S Pike IV, D.M.D.
• Megan Pilarz, RBT
• Pinnacle Dental PC

• Surgery of the Hand (Surgery) Physician in Media, PA
• Providers in Media, PA by specialty
• Surgery of the Hand (Surgery) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.