NPIMap

Organization Active NPI

HR Physician Services

Doing business as Redeemer Health Orthopedic Surgery (do not use)

  • Orthopaedic Surgery Physician
  • Feasterville Trevose, PA
National Provider Identifier
1992244727
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
HR PHYSICIAN SERVICES
Doing business as
Redeemer Health Orthopedic Surgery (do not use)
Practice address
23 Bustleton Pike
Ste 300
Feasterville Trevose, PA 19053-6446
Phone
(215) 436-6999
Fax
(215) 436-6998
NPI assigned
Feb 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Authorized official

Name
Russell R Wagner
Title
Executive Vice President, Finance
Phone
(215) 856-1114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X PA Primary

Addresses

Primary practice location

23 Bustleton Pike
Ste 300
Feasterville Trevose, PA 19053-6446

Mailing address

12265 Townsend Rd
Philadelphia, PA 19154-1201
Phone (215) 856-1010

Other identifiers 1

IdentifierTypeStateIssuer
00153134400030MedicaidPA

Other names 1

  • Redeemer Health Orthopedic Surgery (do not use) Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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…

Other NPIs on the same Medicare enrollment 40

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 40

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1992244727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12265 TOWNSEND RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191541201",
            "telephone_number": "215-856-1010",
            "fax_number": "215-856-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BUSTLETON PIKE",
            "address_2": "STE 300",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536446",
            "telephone_number": "215-436-6999",
            "fax_number": "215-436-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HR PHYSICIAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT, FINANCE",
        "authorized_official_telephone_number": "215-856-1114"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00153134400030",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redeemer Health Orthopedic Surgery (do not use)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Feasterville Trevose, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.