MEDICARE: METHODIST ASSOCIATES IN HEALTHCARE, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207RA0001X	Advanced Heart Failure and Transplant Cardiology Physician
2	207RA0002X	Adult Congenital Heart Disease Physician
3	207RC0001X	Clinical Cardiac Electrophysiology Physician
4	207RI0011X	Interventional Cardiology Physician
5	207RC0000X	Cardiovascular Disease Physician

Other Identifiers

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

General Provider Information

NPI Number	:	1871534826
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METHODIST ASSOCIATES IN HEALTHCARE, INC

Provider Business Mailing Address
First Line	:	PO BOX 828937
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19182-8937
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2422 S BROAD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145-4418
Country	:	US
Telephone Number	:	215-755-5449
Fax Number	:

Authorized Official
Title or Position	:	VP, FINANCE
Name	:	ANDREW NATHANS
Credential	:
Telephone Number	:	215-952-9936

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	10/13/2022

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