Provider Demographics
NPI:1013068345
Name:TEMPLE PHYSICIANS INC.
Entity Type:Organization
Organization Name:TEMPLE PHYSICIANS INC.
Other - Org Name:TEMPLE PHYSICIANS AT LIBERTY SQUARE-ADULT MEDICINE
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:215-926-9015
Mailing Address - Street 1:1300 W LEHIGH AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19132-2760
Mailing Address - Country:US
Mailing Address - Phone:215-226-8800
Mailing Address - Fax:215-226-8819
Practice Address - Street 1:1300 W LEHIGH AVE
Practice Address - Street 2:SUITE A
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19132-2760
Practice Address - Country:US
Practice Address - Phone:215-226-8800
Practice Address - Fax:215-226-8819
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEMPLE PHYSICIANS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-15
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0756985001OtherIBC (KHPE & PC)
PA100727800Medicaid
PACD4829OtherRRM
PA5780450OtherAETNA PPO
PA1573344OtherCIGNA CAP & PPO
PA1026966OtherKEYSTONE MERCY
PA1961897OtherHIGHMARK BLUE SHIELD
PA03071OtherHEALTH PARTNERS SITE #
PA0511323OtherAETNA HMO
PA15343OtherELDER HEALTH
PA597586Medicare PIN
PA1026966OtherKEYSTONE MERCY
PA597586Medicare PIN