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

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

View all 40

Corporate family (same tax ID) 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Practitioners 9

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Medicare enrollment records

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…

National Provider Directory

Tax ID family
Redeemer Pennypack Med (28 organizations share this tax ID)

Locations

1648 Huntingdon Pike
Ste 305
Meadowbrook, PA 19046

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician
Group: 193400000X SINGLE SPECIALTY GROUP
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

IdentifierTypeStateIssuer
0015313400030MedicaidPA

Other names

  • Redeemer Pulmonary Services Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 1, 2016.

{
    "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

All providers in Meadowbrook, PA · Pulmonary Disease Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.