Provider Demographics
NPI:1417907445
Name:NORTHAMPTON FAMILY PRACTICE PC
Entity Type:Organization
Organization Name:NORTHAMPTON FAMILY PRACTICE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:KASIRSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-322-2444
Mailing Address - Street 1:66 BUCK RD
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:18966-1705
Mailing Address - Country:US
Mailing Address - Phone:215-322-2444
Mailing Address - Fax:215-322-1972
Practice Address - Street 1:66 BUCK RD
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:PA
Practice Address - Zip Code:18966-1705
Practice Address - Country:US
Practice Address - Phone:215-322-2444
Practice Address - Fax:215-322-1972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0149312203OtherAMERICHOICE
PA0962860000OtherKEYSTONE/PERSONAL CHOICE
PA0001301212OtherHIGHMARK BS
PA100311OtherKEYSTONE MERCY
PA0000235OtherAETNA
PA29687OtherHEALTH PARTNERS
PA29687OtherHEALTH PARTNERS
NJ=========OtherHORIZON
NJ=========OtherHORIZON