Provider Demographics
NPI:1316098635
Name:TEMPLE PHYSICIANS INC.
Entity type:Organization
Organization Name:TEMPLE PHYSICIANS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SR. MANAGER PAYER CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRARIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-707-2433
Mailing Address - Street 1:3500 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19140-4106
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:525 JAMESTOWN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19128-1751
Practice Address - Country:US
Practice Address - Phone:215-214-2412
Practice Address - Fax:215-482-1251
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEMPLE PHYSICIANS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-15
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0756985038OtherIBC (KHPE & PC)
PA100727800Medicaid
PA15332OtherELDER HEALTH
PA1961863OtherHIGHMARK BLUE SHIELD
PA0470305OtherAETNA HMO
PA5977613OtherAETNA PPO
PA0287357OtherCIGNA CAP & PPO
PA36547OtherHEALTH PARTNERS SITE #
PA1025793OtherKEYSTONE MERCY
PACD4829OtherRRM
PA36547OtherHEALTH PARTNERS SITE #
PA597586Medicare PIN