Healthcare Provider Details

I. General information

NPI: 1164538781
Provider Name (Legal Business Name): RICHARD H. KAPLAN, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 09/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9140 ACADEMY RD SUITE A
PHILADELPHIA PA
19114-2853
US

IV. Provider business mailing address

9140 ACADEMY RD SUITE A
PHILADELPHIA PA
19114-2853
US

V. Phone/Fax

Practice location:
  • Phone: 215-333-9999
  • Fax: 215-333-9815
Mailing address:
  • Phone: 215-333-9999
  • Fax: 215-333-9815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC003542L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAK000175L
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD015723E
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA055891
License Number StatePA
# 5
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD 015564E
License Number StatePA

VIII. Authorized Official

Name: MICHELE BOIMEL
Title or Position: OFFICE MANAGER
Credential:
Phone: 215-333-9999