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Contact Information

MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
501 S 54TH ST
SUITE 126
PHILADELPHIA, PA19143-1900
 Phone: 215-748-9872
 Fax: 215-748-9869
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
 

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
 

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Neurology

2084N0400X 13 Physician/Neurology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA

NPI # 1548246127
LBN Legal business name MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
Authorized official DOUGLAS SMITH - (VP FINANCIAL SERVICES)
Entity Organization
Organization subpart 1 No
Enumeration date 12/16/2005
Last updated 08/08/2017 - About 9 years ago
Identifiers
PA Medicaid 1007787930162
PA Other 1217362 AUSHC HMO
PA Other 7479774 AUSHC PPO
PA Other 1761038 BLUE SHIELD
PA Other 36430 HEALTHPARTNERS
PA Other 2426698000 KEYSTONE HEALTH PLAN EAST
PA Other 30031042 KEYSTONE MERCY HEALTH PLA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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