Provider Demographics
NPI:1194742528
Name:MCELROY, PHILIP K (MD)
Entity type:Individual
Prefix:
First Name:PHILIP
Middle Name:K
Last Name:MCELROY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:215-807-8000
Mailing Address - Fax:215-807-8235
Practice Address - Street 1:3998 RED LION RD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-1436
Practice Address - Country:US
Practice Address - Phone:215-612-4000
Practice Address - Fax:215-807-8235
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD026684E207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA050090951OtherRAILROAD MEDICARE
PA00926178-05OtherAMERICHOICE FRANKFORD
PA0009261780006Medicaid
PA1090973OtherUNITED HEALTHCARE
PA30563OtherHEALTH PARTNERS FRANKFORD
PA3056444OtherAETNA CONTRACT
PA30567OtherHEALTH PARTNERS BUCKS
PA0009261780005Medicaid
PA0009261780009Medicaid
PA00926178-04OtherAMERICHOICE BUCKS
PA01697OtherHEALTH PARTNERS TORRES.
PA30002942OtherKEYSTONE MERCY
PA00926178-06OtherAMERICHOICE TORRESDALE
PA432183OtherPERSONAL CHOICE
PA0056996000OtherKEYSTONE IBC
PA432183OtherHIGHMARK BLUE SHIELD
PA5634274OtherCIGNA
PA30567OtherHEALTH PARTNERS BUCKS
PA30002942OtherKEYSTONE MERCY