=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972715852
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EMKEY ARTHRITIS & OSTEOPOROSIS CLINIC PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/04/2007
-----------------------------------------------------
Last Update Date | 02/09/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1200 BROADCASTING RD SUITE 200
-----------------------------------------------------
City | WYOMISSING
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19610-3206
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-374-8133
-----------------------------------------------------
Fax | 610-375-1206
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1200 BROADCASTING RD SUITE 200
-----------------------------------------------------
City | WYOMISSING
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19610-3206
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-374-8133
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. GREGORY R EMKEY
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 610-374-8133
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | MD008733E
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------