Provider Demographics
| NPI: | 1346275526 |
|---|---|
| Name: | ARIA HEALTH PHYSICIAN SERVICES |
| Entity Type: | Organization |
| Organization Name: | ARIA HEALTH PHYSICIAN SERVICES |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | VICE PRESIDENT OF FINANCE |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | MARY |
| Authorized Official - Middle Name: | M |
| Authorized Official - Last Name: | FINN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 215-710-3757 |
| Mailing Address - Street 1: | PO BOX 825395 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | PHILADELPHIA |
| Mailing Address - State: | PA |
| Mailing Address - Zip Code: | 19182-5395 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 215-807-8000 |
| Mailing Address - Fax: | 215-807-8345 |
| Practice Address - Street 1: | 3998 RED LION RD |
| Practice Address - Street 2: | |
| Practice Address - City: | PHILADELPHIA |
| Practice Address - State: | PA |
| Practice Address - Zip Code: | 19114-1436 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 215-612-4000 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2006-07-12 |
| Last Update Date: | 2022-10-12 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| PA | 207P00000X, 207RC0200X, 207ZP0102X, 208100000X, 363A00000X, 363AM0700X, 363AS0400X | |
| 207Q00000X, 207R00000X, 208M00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | Group - Multi-Specialty | |
| No | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Multi-Specialty | |
| No | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Multi-Specialty | |
| No | 207RC0200X | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | Group - Multi-Specialty |
| No | 207ZP0102X | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology & Clinical Pathology | Group - Multi-Specialty |
| No | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Group - Multi-Specialty | |
| No | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist | Group - Multi-Specialty | |
| No | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Group - Multi-Specialty | |
| No | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical | Group - Multi-Specialty |
| No | 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Surgical | Group - Multi-Specialty |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| PA | 1007526250039 | Medicaid | |
| PA | 1017684 | Other | KEYSTONE MERCY |
| PA | 30000910 | Other | KEYSTONE MERCY |
| PA | 0748852000 | Other | KEYSTONE, IBC |
| PA | 1007526250051 | Medicaid | |
| PA | 2031769 | Other | HIGHMARK BLUE SHIELD PHYSIATRY |
| PA | 1007526250041 | Medicaid | |
| PA | 381505 | Other | HIGHMARK BLUE SHIELD |
| PA | 452729, 2968422 | Other | AETNA CONTRACT |
| PA | 0730941000 | Other | KEYSTONE, IBC |
| PA | 28898 | Other | HEALTH PARTNERS |
| PA | 2032746 | Other | HIGHMARK BLUE SHIELD TRAUMA |
| PA | 386626 | Other | HIGHMARK BLUE SHIELD HOSPITALIST |
| PA | 46129 | Other | KEYSTONE MERCY |
| PA | 01738 | Other | HEALTH PARTNERS |
| PA | 363705 | Other | HIGHMARK BLUE SHIELD |
| PA | 0179761000 | Other | KEYSTONE, IBC |
| PA | 2031753 | Other | HIGHMARK BLUE SHIELD PATHOLOGY |
| PA | 452729 | Other | AETNA CONTRACT |
| PA | 07645 | Other | HEALTH PARTNERS |
| PA | 570921 | Other | HIGHMARK BLUE SHIELD |
| PA | 0730941000 | Other | KEYSTONE, IBC |
