Provider Demographics
NPI:1922078385
Name:MCPHILLEMY, SACHS & AVART PTRS
Entity Type:Organization
Organization Name:MCPHILLEMY, SACHS & AVART PTRS
Other - Org Name:PHILADELPHIA ORTHOPEDIC GROUP
Other - Org Type:Other Name
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCPHILEMY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:610-667-7712
Mailing Address - Street 1:TWO BALA PLAZA
Mailing Address - Street 2:SUITE IL-1
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004
Mailing Address - Country:US
Mailing Address - Phone:610-667-7712
Mailing Address - Fax:610-667-5844
Practice Address - Street 1:TWO BALA PLAZA
Practice Address - Street 2:SUITE IL-1
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004
Practice Address - Country:US
Practice Address - Phone:610-667-7712
Practice Address - Fax:610-667-5844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-26
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
161109OtherHIGHMARK BS
PACD2958OtherTRAVELERS MEDICARE
PA0818780002Medicare NSC
PA0818780001Medicare NSC
161109OtherHIGHMARK BS