Provider Demographics
NPI:1992830913
Name:ARIA HEALTH PHYSICIAN SERVICES
Entity Type:Organization
Organization Name:ARIA HEALTH PHYSICIAN SERVICES
Other - Org Name:ARIA HEALTH PHYSICIAN SERVICES - YARDLEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO-PRESIDENT AHPS
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-612-4858
Mailing Address - Street 1:PO BOX 8500-6335
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-0001
Mailing Address - Country:US
Mailing Address - Phone:215-493-0100
Mailing Address - Fax:215-493-7528
Practice Address - Street 1:680 HEACOCK RD
Practice Address - Street 2:SUITE 205
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-6346
Practice Address - Country:US
Practice Address - Phone:215-493-0100
Practice Address - Fax:215-493-7528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207Q00000X, 207R00000X
PA207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1742145OtherHIGHMARK BLUE SHIELD
PA30023589OtherKEYSTONE MERCY
PA3942579OtherAETNA HMO
PACC4831OtherRAILROAD MEDICARE
PA2409935001OtherKEYSTONE, IBC
PA1007526250039Medicaid
PA1007526250041Medicaid
PA1007526250051Medicaid
PA35651OtherHEALTH PARTNERS
PA1742145OtherPERSONAL CHOICE
PA1007526250039Medicaid
PA1007526250039Medicaid