HR Physician Services
Organization Active NPI Pulmonary Disease Physician · Meadowbrook, PA
NPI 1992707962 · NPPES record last updated Dec 1, 2016
Key facts
- NPI
- 1992707962
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- Legal business name
- HR PHYSICIAN SERVICES
- Practice address
- 1650 Huntingdon Pike
Suite 305
Meadowbrook, PA 19046-8001 - Phone
- (215) 947-6404
- Fax
- (215) 947-9883
- NPI assigned
- Aug 10, 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 9
-
Christopher Gene Halpin, M.D.
-
Semhar Mahmud, M.D.
-
Harpaul Singh Sandhu, M.D.
-
Atom Sarkar, MD, PHD
-
Marc A Lesitsky, M.D.
-
Manasa Reddy, M.D
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
1648 Huntingdon Pike
Ste 305
Meadowbrook, PA 19046
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician |
207RP1001X | PA | Yes |
Addresses
Primary practice location
1650 Huntingdon Pike
Suite 305
Meadowbrook, PA 19046-8001
Mailing address
PO Box 8500
Box #4081
Philadelphia, PA 19178-4081
Phone (215) 856-1010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015313400030 | Medicaid | PA |
Other names
- Redeemer Pulmonary Services
NPI Registry JSON
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1480550400000",
"number": "1992707962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8500",
"address_2": "BOX #4081",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191784081",
"telephone_number": "215-856-1010",
"fax_number": "215-938-3829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 HUNTINGDON PIKE",
"address_2": "SUITE 305",
"city": "MEADOWBROOK",
"state": "PA",
"postal_code": "190468001",
"telephone_number": "215-947-6404",
"fax_number": "215-947-9883"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HR PHYSICIAN SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-10",
"last_updated": "2016-12-01",
"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",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015313400030",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Redeemer Pulmonary Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Meadowbrook, PA
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All providers in Meadowbrook, PA · Pulmonary Disease 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.