ARIA HEALTH PHYSICIAN SERVICES

Provider Demographics

• NPI: 1497918205
• Name: ARIA HEALTH PHYSICIAN SERVICES
• Entity Type: Organization
• Organization Name: ARIA HEALTH PHYSICIAN SERVICES
• Authorized Official - Title/Position: PRESIDENT
• Authorized Official - First Name: SUSAN
• Authorized Official - Last Name: ABRAHAM
• Authorized Official - Phone: 215-612-4823
• Mailing Address - Street 1: PO BOX 8500-6335
• Mailing Address - City: PHILADELPHIA
• Mailing Address - State: PA
• Mailing Address - Zip Code: 19178-0001
• Mailing Address - Country: US
• Mailing Address - Phone: 215-807-8000
• Mailing Address - Fax: 215-807-8235
• Practice Address - Street 1: 5009 FRANKFORD AVE
• Practice Address - City: PHILADELPHIA
• Practice Address - State: PA
• Practice Address - Zip Code: 19124-2619
• Practice Address - Country: US
• Practice Address - Phone: 215-807-8000
• Practice Address - Fax: 215-807-8235
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2008-07-02
• Last Update Date: 2009-07-29

Provider Licenses

State	License ID	Taxonomies
PA		207L00000X, 207P00000X, 207Q00000X, 207R00000X, 207V00000X, 207Y00000X, 207ZP0102X, 208100000X, 208600000X, 2086S0102X, 2086S0127X, 208C00000X, 208G00000X, 208M00000X, 208VP0000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	207P00000X	Allopathic & Osteopathic Physicians	Emergency Medicine		Group - Multi-Specialty
No	207L00000X	Allopathic & Osteopathic Physicians	Anesthesiology		Group - Multi-Specialty
No	207Q00000X	Allopathic & Osteopathic Physicians	Family Medicine		Group - Multi-Specialty
No	207R00000X	Allopathic & Osteopathic Physicians	Internal Medicine		Group - Multi-Specialty
No	207V00000X	Allopathic & Osteopathic Physicians	Obstetrics & Gynecology		Group - Multi-Specialty
No	207Y00000X	Allopathic & Osteopathic Physicians	Otolaryngology		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	208600000X	Allopathic & Osteopathic Physicians	Surgery		Group - Multi-Specialty
No	2086S0102X	Allopathic & Osteopathic Physicians	Surgery	Surgical Critical Care	Group - Multi-Specialty
No	2086S0127X	Allopathic & Osteopathic Physicians	Surgery	Trauma Surgery	Group - Multi-Specialty
No	208C00000X	Allopathic & Osteopathic Physicians	Colon & Rectal Surgery		Group - Multi-Specialty
No	208G00000X	Allopathic & Osteopathic Physicians	Thoracic Surgery (Cardiothoracic Vascular Surgery)		Group - Multi-Specialty
No	208M00000X	Allopathic & Osteopathic Physicians	Hospitalist		Group - Multi-Specialty
No	208VP0000X	Allopathic & Osteopathic Physicians	Pain Medicine	Pain Medicine	Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
PA	381501	Other	HIGHMARK BLUE SHIELD
PA	1544426	Other	HIGHMARK BLUE SHIELD
PA	2031747	Other	HIGHMARK BLUE SHIELD
PA	1007526250051	Medicaid
PA	1442908	Other	HIGHMARK BLUE SHIELD
PA	1896336	Other	HIGHMARK BLUE SHIELD
PA	379886	Other	HIGHMARK BLUE SHIELD
PA	1007526250039	Medicaid
PA	1007526250041	Medicaid
PA	1382048	Other	HIGHMARK BLUE SHIELD
PA	379777	Other	HIGHMARK BLUE SHIELD
PA	1452530	Other	HIGHMARK BLUE SHIELD
PA	1742145	Other	HIGHMARK BLUE SHIELD
PA	1783156	Other	HIGHMARK BLUE SHIELD
PA	1967565	Other	HIGHMARK BLUE SHIELD
PA	2032746	Other	HIGHMARK BLUE SHIELD
PA	363705	Other	HIGHMARK BLUE SHIELD
PA	1640886	Other	HIGHMARK BLUE SHIELD
PA	379767	Other	HIGHMARK BLUE SHIELD
PA	386631	Other	HIGHMARK BLUE SHIELD
PA	1413853	Other	HIGHMARK BLUE SHIELD
PA	379781	Other	HIGHMARK BLUE SHIELD
PA	386626	Other	HIGHMARK BLUE SHIELD
PA	379886	Other	HIGHMARK BLUE SHIELD
PA	1783156	Other	HIGHMARK BLUE SHIELD
PA	074694	Medicare PIN
PA	063138	Medicare PIN
PA	379767	Other	HIGHMARK BLUE SHIELD
PA	068329	Medicare PIN
PA	066366	Medicare PIN