FAMILY PRACTICE ASSOCIATES OF KING OF PRUSSIA, P.C. (NPI# 1285686253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285686253 |
| Entity Type | Organization |
| Organization Name | FAMILY PRACTICE ASSOCIATES OF KING OF PRUSSIA, P.C. |
| Practice Address |
625 Clark Ave Suite 13 King of Prussia PA 19406-1438 |
| Practice Telephone | 6102658566 |
| Practice Fax Number | 6108782620 |
| Mailing Telephone | 6102658566 |
| Mailing Fax Number | 6108782620 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2008-01-03 |
| Authorized Official Name | DR. MICHELLE A. SMITH (PRESIDENT) |
| Authorized Official Telephone | 6102658566 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 07806707 | 05 | |
| PA | CIGNA | 6116665 | 01 |
| PA | AETNA | 138009 | 01 |
| PA | KEYSTONE HEALTH PLAN EAST | 0963788001 | 01 |
| Street Address |
625 CLARK AVE SUITE 13 |
| City | KING OF PRUSSIA |
| State | PA |
| Zip Code | 19406-1438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992788350 | Trustees of The University of Pennsylvania | Durable Medical Equipment & Medical Supplies | 625 Clark Ave, Suite 10, King of Prussia, PA 19406-1438 | 2005-11-21 |
| 1053946319 | Gregory William Wesley-lynch | Nurse Practitioner | 625 Clark Ave, King of Prussia, PA 19406-1438 | 2020-03-06 |
| 1235588989 | Pamela Conner | Nurse Practitioner | 625 Clark Ave, Suite 13, King of Prussia, PA 19406-1438 | 2016-06-03 |
| 1669810859 | Tony W. Ku, Md, LLC | Anesthesiology | 625 Clark Ave, Suite 17a, King of Prussia, PA 19406-1438 | 2013-06-10 |
| 1609176544 | Fornance Physician Services | Family Medicine | 625 Clark Ave, Suite 13, King of Prussia, PA 19406-1438 | 2010-10-26 |
| 1750696134 | Rma of Philadelphia Surgical Center LLC | Clinic/Center | 625 Clark Ave, Suite 17b, King of Prussia, PA 19406 | 2010-08-10 |
| 1346283637 | Tony Wen-wei Ku | Anesthesiology | 625 Clark Ave, Suite 17a, King of Prussia, PA 19406-1438 | 2006-06-14 |
| 1841265782 | Ellen K Frazier | Nurse Practitioner | 625 Clark Ave, Suite 13, King of Prussia, PA 19406-1438 | 2006-02-22 |
| 1205816261 | Andrea M Hall | Nurse Practitioner | 625 Clark Ave, Suite 13, King of Prussia, PA 19406-1438 | 2006-01-18 |
| 1790765899 | William Ward Richardson | Family Medicine | 625 Clark Ave, Suite 13, King of Prussia, PA 19406-1438 | 2006-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346887296 | Optical World Nj Corp | Optometrist | Optical World, 160 N. Gulph Rd King of Prussia Plaza Suite #2377, King of Prussia, PA 19406 | 2019-12-10 |
| 1194213694 | Compass Recovery Center | Clinic/Center | 901 E 8th Ave Ste 203, King of Prussia, PA 19406 | 2018-04-30 |
| 1154858520 | Recovery Centers of America At Ventnor Nj Medicaid Only | Clinic/Center | 2701 Renaissance Boulevard, 4th Floor, King of Prussia, PA 19406 | 2017-05-17 |
| 1568913192 | Luke Gillespie | Counselor | 680 American Avenue, Suite 320, King of Prussia, PA 19406 | 2016-10-19 |
| 1932652906 | Bayada Home Health Care, Inc. | Home Health | 700 American Ave Ste 103, King of Prussia, PA 19406 | 2016-07-26 |
| 1912357690 | Barsha Moktan | Dentist | 357 S Gulph Road, #110, King of Prussia, PA 19406 | 2016-06-14 |
| 1588057756 | National Counseling Group, Inc | Counselor | 1150 1st Avenue, #501, King of Prussia, PA 19406 | 2015-03-12 |
| 1184020174 | Dr. Jeanvickey Lusk, M.d. & Co. P.C. | Family Medicine | 315 Gypsy Lane, King of Prussia, PA 19406 | 2014-11-18 |
| 1912303033 | Masuma Bahora | Obstetrics & Gynecology | 210 Mall Blvd Ste 220, King of Prussia, PA 19406 | 2014-11-17 |
| 1942612486 | Delphi Medical Group | Durable Medical Equipment & Medical Supplies | 1600 First Avenue Ste 400, King of Prussia, PA 19406 | 2014-06-02 |
| Find all providers in zip 19406 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912431529 | Samantha P Flanagan | Family Medicine | 120 Valley Green Ln Ste 510, King of Prussia, PA 19406-2080 | 2017-04-20 |
| 1184020174 | Dr. Jeanvickey Lusk, M.d. & Co. P.C. | Family Medicine | 315 Gypsy Lane, King of Prussia, PA 19406 | 2014-11-18 |
| 1487099461 | Rachel Alexandra Sugarman | Family Medicine | 120 Valley Green Ln Ste 670, King of Prussia, PA 19406-2079 | 2013-05-06 |
| 1083875231 | Charissa Gardner Myers | Family Medicine | 700 S Henderson Rd Ste 306, King of Prussia, PA 19406-4208 | 2008-06-20 |
| 1083801773 | Weiguo Li, LLC | Family Medicine | 625 Clark Avenue, Suite 17a, King of Prussia, PA 19406-3065 | 2007-09-26 |
| 1295931038 | Weiguo Victor Li | Family Medicine | 625 Clark Ave Ste 17a, King of Prussia, PA 19406-1438 | 2007-06-26 |
| 1063547602 | Sharon Marie O'brien | Family Medicine | 625 Clark Ave Ste 13, King of Prussia, PA 19406-1438 | 2007-02-23 |
| 1154433316 | Joseph Andre Garabedian | Family Medicine | 491 Allendale Road - Suite 222, King of Prussia, PA 19406-1431 | 2006-08-31 |
| 1588618698 | David Leon Hitz | Family Medicine | 1008 W 8th Ave, King of Prussia, PA 19406-1346 | 2006-05-22 |
| 1770573883 | Deborah A Swider | Family Medicine | 150 S Warner Rd Ste 310, King of Prussia, PA 19406-2860 | 2005-10-28 |
| Find all providers in KING OF PRUSSIA | ||||
| City | KING OF PRUSSIA |
| Zip Code | 19406 |
Please comment or provide details below to improve the information on FAMILY PRACTICE ASSOCIATES OF KING OF PRUSSIA, P.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.