Healthcare Provider Details

I. General information

NPI: 1750659330
Provider Name (Legal Business Name): TEMPLE PHYSICIANS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2011
Last Update Date: 12/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1722 BETHLEHEM PIKE
FLOURTOWN PA
19031-1644
US

IV. Provider business mailing address

PO BOX 820933
PHILADELPHIA PA
19182-0933
US

V. Phone/Fax

Practice location:
  • Phone: 215-233-9700
  • Fax: 215-233-9710
Mailing address:
  • Phone: 215-926-9010
  • Fax: 215-226-8285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number
License Number State
# 8
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1007278001
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerMEDICAID GROUP TPI - 9 DIGIT
# 2
Identifier597586
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerMEDICARE GROUP TPI
# 3
IdentifierCD4829
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerRAILROAD MEDICARE TPI GROUP

VIII. Authorized Official

Name: LYNNIE SAVERING
Title or Position: DIRECTOR OF PATIENT ACCOUNTING
Credential:
Phone: 215-926-9015