Provider Demographics
NPI:1235119249
Name:GOLDHAMMER, RICHARD H (DO)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:H
Last Name:GOLDHAMMER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 UNIVERSITY DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1873
Mailing Address - Country:US
Mailing Address - Phone:215-710-5522
Mailing Address - Fax:215-710-5181
Practice Address - Street 1:1609 WOODBOURNE RD STE 101
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19057
Practice Address - Country:US
Practice Address - Phone:215-945-1500
Practice Address - Fax:215-945-9192
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS006458E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1033060002OtherCIGNA
PA118864300OtherUS DEPT. OF LABOR
PA15748OtherUMWA
PAP417833OtherOXFORD
PA96499OtherOPERATOR'S 825 WELFARE
PAA8770OtherAMERIHEALTH ICHP
PA4213562OtherAETNA PPO
PA0011269830002Medicaid
PA08127668OtherMEDICARE TRAVELERS
PA30080578OtherKEYSTONE FIRST
PA2Y1926OtherHEALTHNET
PA187700OtherBLUE CROSS BLUE SHIELD
PA0090904000OtherKEYSTONE EAST
PA08127668OtherMEDICARE TRAVELERS
PA4213562OtherAETNA PPO
PA1073819OtherKEYSTONE MERCY