MEDICARE: TEMPLE PHYSICIANS INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2	208M00000X	Hospitalist Physician
3	363L00000X	Nurse Practitioner
4	363AM0700X	Medical Physician Assistant
5	207RP1001X	Pulmonary Disease Physician
6	207RN0300X	Nephrology Physician
7	207Q00000X	Family Medicine Physician
8	207V00000X	Obstetrics & Gynecology Physician
9	207Y00000X	Otolaryngology Physician
10	208000000X	Pediatrics Physician
11	208600000X	Surgery Physician
12	367A00000X	Advanced Practice Midwife
13	207R00000X	Internal Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	597586	OTHER	PA	MEDICARE GROUP
3	CD4829	OTHER	PA	RAILROAD MEDICARE GROUP

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	:	1982680526
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEMPLE PHYSICIANS INC

Provider Business Mailing Address
First Line	:	PO BOX 820933
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19182-0933
Country	:	US
Telephone Number	:	215-926-9010
Fax Number	:	215-226-8286

Provider Business Practice Location Address
First Line	:	2450 W HUNTING PARK AVE
Second Line	:	TPI 2ND FL
City	:	PHILA
State	:	PA
Zip	:	19129-1302
Country	:	US
Telephone Number	:	215-926-9019
Fax Number	:	215-226-8286

Authorized Official
Title or Position	:	CEO
Name	:	ERIC MANKIN
Credential	:	MD
Telephone Number	:	215-926-9050

Provider Enumeration Date	:	12/15/2005
Last Update Date	:	07/20/2011

Similar Medicare Providers

1073717310 — TEMPLE PHYSICIANS INC
Practice Location Address:

2450 W HUNTING PARK AVE , TPI 2ND FLOOR
PHILA, PA
19129-1302

Practice Phone: 215-707-2000
Practice Fax:

1306981840 — DR. KEN CIRKA DMD
Practice Location Address:

1601 WALNUT ST , STE 1302
PHILA, PA
19102

Practice Phone: 215-568-6222
Practice Fax: 215-568-4343

1912995424 — TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Practice Location Address:

2450 W HUNTING PARK AVE
PHILADELPHIA, PA
19129-1302

Practice Phone: 856-569-0906
Practice Fax: 856-596-6918

1093141400 — JOYCE MATHAI P.A.
Practice Location Address:

2450 W HUNTING PARK AVE
PHILADELPHIA, PA
19129-1302

Practice Phone: 215-707-5437
Practice Fax: 215-707-5180

1902882541 — MARY DHAND MD
Practice Location Address:

3300 HENRY AVE , ONE FALLS CENTER
PHILA, PA
19129-1121

Practice Phone: 215-842-7415
Practice Fax: 215-848-1355

1265419162 — KATHRYN ELAINE VANDERHEI MD
Practice Location Address:

3300 HENRY AVE , ONE FALLS CENTER
PHILA, PA
19129-1121

Practice Phone: 215-842-7415
Practice Fax: 215-848-1355

Directions to “TEMPLE PHYSICIANS INC ” Practice Location

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