Provider Demographics
NPI:1790755874
Name:FORNANCE PHYSICIAN SERVICES
Entity Type:Organization
Organization Name:FORNANCE PHYSICIAN SERVICES
Other - Org Name:NORRISTOWN INTERNAL MEDICINE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REIMBURSEMENT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWE-ROBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-622-7382
Mailing Address - Street 1:342 W GERMANTOWN PIKE
Mailing Address - Street 2:STE 200
Mailing Address - City:EAST NORRITON
Mailing Address - State:PA
Mailing Address - Zip Code:19403-4260
Mailing Address - Country:US
Mailing Address - Phone:610-279-1500
Mailing Address - Fax:610-278-6065
Practice Address - Street 1:342 W GERMANTOWN PIKE
Practice Address - Street 2:STE 200
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19403-4260
Practice Address - Country:US
Practice Address - Phone:610-279-1500
Practice Address - Fax:610-278-6065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-23
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA30009524OtherKEYSTONE MERCY
PA6386420OtherCIGNA HMO/PPO
PA1538387OtherHIGHMARK BLUE SHIELD
PADA5989/DA5501OtherRR MEDICARE
PA2223433001OtherAMERIHEALTH/INTERCOUNTY
PA0000414OtherAETNA HMO
PA5600031OtherAETNA PPO
PA2223433001OtherIBC - PC, KHPE
PA6386420OtherCIGNA HMO/PPO