Provider Demographics
NPI:1740729797
Name:TEMPLE PHYSICIANS INC
Entity type:Organization
Organization Name:TEMPLE PHYSICIANS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PATIENT ACCOUNTING
Authorized Official - Prefix:MR
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 1:2450 W HUNTING PARK AVE
Mailing Address - Street 2:2ND FLOOR TPI
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19129-1302
Mailing Address - Country:US
Mailing Address - Phone:215-926-9022
Mailing Address - Fax:215-226-8286
Practice Address - Street 1:8401 ROOSEVELT BLVD
Practice Address - Street 2:SUITE 2A
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-2034
Practice Address - Country:US
Practice Address - Phone:215-624-5800
Practice Address - Fax:215-624-6260
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEMPLE PHYSICIANS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-02-22
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS008994L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACD4829OtherRAILROAD MEDICARE GROUP TPI
PA597586OtherMEDICARE GROUP TPI
PA100727800OtherTPI PA MEDICAID GROUP