Provider Demographics
NPI:1265620553
Name:ARIA HEALTH PHYSICIAN SERVICES
Entity type:Organization
Organization Name:ARIA HEALTH PHYSICIAN SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
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 825395
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-5395
Mailing Address - Country:US
Mailing Address - Phone:215-481-6836
Mailing Address - Fax:215-481-5788
Practice Address - Street 1:3998 RED LION RD
Practice Address - Street 2:SUITE 301
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-1436
Practice Address - Country:US
Practice Address - Phone:215-612-4884
Practice Address - Fax:215-612-4911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-11
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA30001994OtherKEYSTONE MERCY
PA1007526250039Medicaid
PA1007526250041Medicaid
PA1007526250051Medicaid
PA1413853OtherPERSONAL CHOICE
PA37353OtherHEALTH PARTNERS
PA2952901OtherAETNA
PA1413853OtherHIGHMARK BLUE SHIELD
PA2101721000OtherKEYSTONE,IBC
PA2952901OtherAETNA