Organization Active NPI

Chester Springs Family Practice, LLC

  • Primary Care Clinic/Center
  • Exton, PA
National Provider Identifier
1982860862
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
OS012561 Issued in PA
Legal business name
CHESTER SPRINGS FAMILY PRACTICE, LLC
Practice address
662 Wharton Blvd
Exton, PA 19341-1188
Phone
(610) 321-1940
Fax
(610) 471-0454
NPI assigned
Jul 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Mrs. Darlene Yvonne Ouattara, D.O.
Title
Physician/Admin
Phone
(610) 321-1940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X OS012561 PA Primary

Addresses

Primary practice location

662 Wharton Blvd
Exton, PA 19341-1188

Mailing address

662 Wharton Blvd
Exton, PA 19341-1188
Phone (610) 321-1940

Other identifiers 1

IdentifierTypeStateIssuer
101061531MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1982860862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 WHARTON BLVD",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411188",
            "telephone_number": "610-321-1940",
            "fax_number": "610-471-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "662 WHARTON BLVD",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411188",
            "telephone_number": "610-321-1940",
            "fax_number": "610-471-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTER SPRINGS FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "OUATTARA",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "PHYSICIAN/ADMIN",
        "authorized_official_telephone_number": "610-321-1940",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PA",
            "license": "OS012561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101061531",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.