Provider Demographics
NPI:1962473876
Name:BUCKS COUNTY ORTHOPEDIC SPECIALISTS, PC
Entity Type:Organization
Organization Name:BUCKS COUNTY ORTHOPEDIC SPECIALISTS, PC
Other - Org Name:THOMAS E. MACKELL MD LTD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTKORN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-348-7000
Mailing Address - Street 1:BUCKS COUNTY ORTHOPEDIC SPECIALISTS
Mailing Address - Street 2:800 WEST STATE STREET SUITE 204
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901
Mailing Address - Country:US
Mailing Address - Phone:215-348-7000
Mailing Address - Fax:215-348-7428
Practice Address - Street 1:BUCKS COUNTY ORTHOPEDIC SPECIALISTS
Practice Address - Street 2:2800 KELLY ROAD SUITE 300
Practice Address - City:WARRINGTON
Practice Address - State:PA
Practice Address - Zip Code:18976
Practice Address - Country:US
Practice Address - Phone:215-348-7000
Practice Address - Fax:215-348-7428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-30
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic SupplierGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA111202Medicare PIN