Provider Demographics
NPI:1609827773
Name:GRAND VIEW EMERGENCY MEDICINE ASSOCIATES
Entity Type:Organization
Organization Name:GRAND VIEW EMERGENCY MEDICINE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:SLAGEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-453-4485
Mailing Address - Street 1:P.O. BOX 13700-1432
Mailing Address - Street 2:GRAND VIEW EMERGENCY MEDICINE
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19191-0001
Mailing Address - Country:US
Mailing Address - Phone:610-668-6491
Mailing Address - Fax:610-617-6280
Practice Address - Street 1:700 LAWN AVE
Practice Address - Street 2:GRAND VIEW HOSPITAL EMERG DEPT
Practice Address - City:SELLERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18960-1548
Practice Address - Country:US
Practice Address - Phone:215-453-4486
Practice Address - Fax:215-453-4012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA034599Medicare ID - Type UnspecifiedGROUP #