MEDICARE: TEMPLE PHYSICIANS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207XS0117X	Orthopaedic Surgery of the Spine Physician
2	363A00000X	Physician Assistant
3	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician
4	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician
5	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician
6	363L00000X	Nurse Practitioner
7	207XS0106X	Orthopaedic Hand Surgery Physician
8	207X00000X	Orthopaedic Surgery Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CD4827	OTHER	PA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508012691
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEMPLE PHYSICIANS INC

Provider Business Mailing Address
First Line	:	3500 N BROAD ST RM 1A
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19140-4106
Country	:	US
Telephone Number	:	215-926-3777
Fax Number	:	215-926-3376

Provider Business Practice Location Address
First Line	:	11000 ROOSEVELT BLVD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19116-3961
Country	:	US
Telephone Number	:	215-291-3777
Fax Number	:	215-291-3776

Authorized Official
Title or Position	:	DIRECTOR PAYER CREDENTIALING
Name	:	WOODARD TONYA
Credential	:
Telephone Number	:	215-707-3911

Provider Enumeration Date	:	08/08/2008
Last Update Date	:	11/24/2025

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Directions to “TEMPLE PHYSICIANS INC ” Practice Location

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