Provider Demographics
NPI:1275507675
Name:FIRPO, JOHN JAMES (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:JAMES
Last Name:FIRPO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 W DARBY RD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-4630
Mailing Address - Country:US
Mailing Address - Phone:610-789-6320
Mailing Address - Fax:610-789-6325
Practice Address - Street 1:510 W DARBY RD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-4630
Practice Address - Country:US
Practice Address - Phone:610-789-6320
Practice Address - Fax:610-789-6325
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD014158E207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007157810001Medicaid
30926AOtherKEYSTONE MERCY
0032976000OtherIBC
02191MD014158EOtherHEALTH PARNTERS
121206OtherHIGHMARK BLUE SHIELD
390001500OtherRAILROAD MEDICARE
0071578102OtherAMERICHOICE OF PA
PAMD014158EOtherMEDIAL LICENSE NUMBER
PA4100579OtherAETNA
PAB37193Medicare UPIN
PA0007157810001Medicaid