Healthcare Provider Details

I. General information

NPI: 1407958143
Provider Name (Legal Business Name): JAMES WILLIAM BYERS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2006
Last Update Date: 03/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5501 OLD YORK RD KLEIN BLDG. SUITE 410
PHILADELPHIA PA
19141-3018
US

IV. Provider business mailing address

5501 OLD YORK RD SUITE 202 KORMAN
PHILADELPHIA PA
19141-3018
US

V. Phone/Fax

Practice location:
  • Phone: 215-456-7180
  • Fax: 215-456-7052
Mailing address:
  • Phone: 215-456-4695
  • Fax: 215-456-5926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VC0200X
TaxonomyCritical Care Medicine (Obstetrics & Gynecology) Physician
License NumberMD031470E
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberMD031470E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: