Provider Demographics
NPI:1346275526
Name:ARIA HEALTH PHYSICIAN SERVICES
Entity type:Organization
Organization Name:ARIA HEALTH PHYSICIAN SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:M
Authorized Official - Last Name:FINN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-710-3757
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:215-807-8000
Mailing Address - Fax:215-807-8345
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA207P00000X, 207RC0200X, 207ZP0102X, 208100000X, 363A00000X, 363AM0700X, 363AS0400X
207Q00000X, 207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007526250039Medicaid
PA1017684OtherKEYSTONE MERCY
PA30000910OtherKEYSTONE MERCY
PA0748852000OtherKEYSTONE, IBC
PA1007526250051Medicaid
PA2031769OtherHIGHMARK BLUE SHIELD PHYSIATRY
PA1007526250041Medicaid
PA381505OtherHIGHMARK BLUE SHIELD
PA452729, 2968422OtherAETNA CONTRACT
PA0730941000OtherKEYSTONE, IBC
PA28898OtherHEALTH PARTNERS
PA2032746OtherHIGHMARK BLUE SHIELD TRAUMA
PA386626OtherHIGHMARK BLUE SHIELD HOSPITALIST
PA46129OtherKEYSTONE MERCY
PA01738OtherHEALTH PARTNERS
PA363705OtherHIGHMARK BLUE SHIELD
PA0179761000OtherKEYSTONE, IBC
PA2031753OtherHIGHMARK BLUE SHIELD PATHOLOGY
PA452729OtherAETNA CONTRACT
PA07645OtherHEALTH PARTNERS
PA570921OtherHIGHMARK BLUE SHIELD
PA0730941000OtherKEYSTONE, IBC