Provider Demographics
NPI:1154473775
Name:TEMPLE PHYSICIANS INC.
Entity Type:Organization
Organization Name:TEMPLE PHYSICIANS INC.
Other - Org Name:TPI JENKINTOWN MEDICAL GROUP
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LYNNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAVERING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-926-9015
Mailing Address - Street 1:PO BOX 820933
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-0933
Mailing Address - Country:US
Mailing Address - Phone:215-926-9000
Mailing Address - Fax:215-226-8285
Practice Address - Street 1:314 YORK RD
Practice Address - Street 2:
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-3211
Practice Address - Country:US
Practice Address - Phone:215-884-7620
Practice Address - Fax:215-884-7896
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEMPLE PHYSICIANS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-16
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1961996OtherHIGHMARK BLUE SHIELD
PA0756985075OtherIBC (KHPE & PC)
PA0000536OtherAETNA HMO
PA37086OtherHEALTH PARTNERS SITE #
PA5823045OtherAETNA PPO
PA30037430OtherKEYSTONE MERCY
PA7936346OtherCIGNA CAP & PPO
PA00960OtherELDER HEALTH
PA00960OtherELDER HEALTH
PA0756985075OtherIBC (KHPE & PC)
PACD4829Medicare PIN