Provider Demographics
NPI:1225067630
Name:THOMAS, FRANCES SPELLMAN (DO)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:SPELLMAN
Last Name:THOMAS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:
Other - Last Name:SPELLMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 8500-6335
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-0001
Mailing Address - Country:US
Mailing Address - Phone:215-638-4340
Mailing Address - Fax:215-633-9710
Practice Address - Street 1:5000 BENSALEM BLVD
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-4043
Practice Address - Country:US
Practice Address - Phone:215-638-4340
Practice Address - Fax:215-633-9710
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS010139L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA7374202OtherAETNA
PA30068286OtherKEYSTONE FIRST
PA844294OtherHIGHMARK BLUE SHIELD
PA0847984000OtherKEYSTONE IBC
PA0018338140004Medicaid
PA045196GH2Medicare PIN
PA0847984000OtherKEYSTONE IBC
PAH31066Medicare UPIN