Mercy Management Of Southeastern Pennsylvania, NPI 1396721494
General Practice Physician in Philadelphia, PA, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1396721494 |
| NPI Entity Type | Organization |
| Provider Name |
Mercy Management Of Southeastern Pennsylvania
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 501 S 54th St, Philadelphia, PA, US |
| Provider Mailing Address | 1 W Elm St, 2nd Floor, Conshohocken, PA, US, 194282007 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. Douglas C Smith |
| Official Position | VP FINANCIAL SERVICES |
| Phone | 610-567-6964 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | General Practice Physician |
| Classification | |
| Group | |
| Description | Definition to come... |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 100778793 0157 | PA | MEDICAID | 05 |
| 1543646 | PA | BLUE SHIELD COMP | 01 |
| 1543646 | PA | BLUE SHIELD PA PR | 01 |
| 1543648 | PA | AMERIHEALTH ADMIN | 01 |
| 2228313000 | PA | AMERIHEALTH DELAWARE | 01 |
| 2228313000 | PA | BLUE SHIELD LLIN | 01 |
| 33695 | PA | HEALTH PARTNERS SENIOR | 01 |
| 1543646 | PA | BLUE SHIELD | 01 |
| 2228313000 | PA | KEYSTONE 65 SPECIAL | 01 |
| 2507496 | PA | AETNA MEDICARE HMO | 01 |
| 2228313000 | PA | AMERIHEALTH HMO | 01 |
| 2228313000 | PA | AMERIHEALTH NEW JERSEY | 01 |
| 2228313000 | PA | KEYSTONE HEALTH PLAN | 01 |
| 33695 | PA | HEALTH PARTNERS | 01 |
| 125183600 | PA | DEPT OF LABOR | 01 |
| 2507496 | PA | AETNA HMO SPECIALIST | 01 |
| 1543646 | PA | BLUE SHIELD PA 65 | 01 |
| 7770198 | PA | AETNA OTHER | 01 |
| G000668600 | PA | AMERICHOICE | 01 |
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