Provider Demographics
NPI:1174783203
Name:TEMPLE PHYSICIANS INC
Entity type:Organization
Organization Name:TEMPLE PHYSICIANS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SAVERING
Authorized Official - Middle Name:
Authorized Official - Last Name:LYNNIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-926-9050
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:215-926-9010
Mailing Address - Fax:215-226-8285
Practice Address - Street 1:133 W HUNTING PARK AVE
Practice Address - Street 2:SUITE 300-C
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19140-2717
Practice Address - Country:US
Practice Address - Phone:215-291-3700
Practice Address - Fax:215-291-3703
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEMPLE PHYSICIANS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-12
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1913147OtherAETNA PPO
PA1913147OtherAETNA HMO
PA1007278000110Medicaid
1121595OtherKEYSTONE MERCY HEALTH PLAN
PA2056273OtherHIGHMARK BLUE SHIELD
PA0438334023OtherIBC (KHPE & PC)
PA2056273OtherHIGHMARK BLUE SHIELD
PA597586Medicare PIN