Provider Demographics
NPI:1679624498
Name:TEMPLE PHYSICIANS INC.
Entity Type:Organization
Organization Name:TEMPLE PHYSICIANS INC.
Other - Org Name:TEMPLE FAMILY MEDICINE AT FORT WASHINGTON
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LYNNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAVERING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-926-9019
Mailing Address - Street 1:PO BOX 820933
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-0933
Mailing Address - Country:US
Mailing Address - Phone:215-926-9010
Mailing Address - Fax:215-226-8285
Practice Address - Street 1:515 PENNSYLVANIA AVE
Practice Address - Street 2:2ND FL SUITE A
Practice Address - City:FORT WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:19034-3314
Practice Address - Country:US
Practice Address - Phone:215-540-8408
Practice Address - Fax:215-540-8418
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEMPLE PHYSICIANS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-16
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA15385OtherELDER HEALTH
PA100727800Medicaid
PA30019075OtherKEYSTONE MERCY
PA7384637OtherAETNA PPO
PA3722321OtherAETNA HMO
PA0756985065OtherIBC (KHPE & PC)
PA35883OtherHEALTH PARTNERS SITE #
PA1962006OtherHIGHMARK BLUE SHIELD
PACD4829OtherRRM
PA597586Medicare PIN
PA30019075OtherKEYSTONE MERCY