Individual provider Active NPI

Elizabeth McKey, PA-C

  • Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1982055729
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA060040 Issued in PA
Practice address
1200 Callowhill St Ste 101
Philadelphia, PA 19123
Phone
(215) 825-8220
NPI assigned
Jun 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA060040 PA Primary

Addresses

Primary practice location

1200 Callowhill St Ste 101
Philadelphia, PA 19123

Mailing address

321 S Juniper St Apt a
Philadelphia, PA 19107-5817
Phone (814) 602-9217

Other practice location 1

5870 S Kipling Pkwy
Littleton, CO 80127-2070
Phone (303) 973-4800

Other names 1

  • Elizabeth Westfall Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161019000618 NC Practitioner - Physician Assistant 7911295233 Reassigns benefits to 1 organization
I20181120001966 PA Practitioner - Physician Assistant 7911295233 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA060040PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Community Health Center Incorporated CurrentSince Jul 1, 2021 Accepting new patients
Public Health Management Corporation CurrentSince Oct 1, 2018 Accepting new patients
Lincoln Community Health Center Incorporated CurrentSince Jul 1, 2021 Accepting new patients
Take Care Health Colorado, Inc. Past Accepting new patients

Locations

1301 Fayetteville St
Durham, NC 27707
Phone (919) 956-4000

125 S 9th St
Philadelphia, PA 19107
Phone (215) 592-4500

5675 N Front St
Philadelphia, PA 19120
Phone (215) 224-0440

1200 Callowhill St
Ste 101
Philadelphia, PA 19123
Phone (215) 825-8212

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1982055729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 S JUNIPER ST APT A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075817",
            "telephone_number": "814-602-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CALLOWHILL ST STE 101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19123",
            "telephone_number": "215-825-8220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5870 S Kipling Pkwy",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801272070",
            "country_code": "US",
            "telephone_number": "303-973-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKEY",
        "first_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA060040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "WESTFALL",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.