Provider Demographics
NPI:1992716419
Name:ECHOLS, KAROLYNN T (MD)
Entity type:Individual
Prefix:
First Name:KAROLYNN
Middle Name:T
Last Name:ECHOLS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 CHESTNUT ST
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4414
Mailing Address - Country:US
Mailing Address - Phone:215-955-5000
Mailing Address - Fax:215-923-1089
Practice Address - Street 1:833 CHESTNUT ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-4414
Practice Address - Country:US
Practice Address - Phone:215-955-5000
Practice Address - Fax:215-923-1089
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA78634207VG0400X
NJMA08141000207VG0400X
NJ25MA08141000207VF0040X
PAMD457698207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ010078024OtherAMERICHOICE
NJ2793597000OtherAMERIHEALTH/KEYSTON/IBC
NJ1416198OtherAETNA
NJ7791521OtherAETNA
NJ6498081OtherCIGNA
NJ00116025Medicaid
PA103106338 0002Medicaid
NJ1416199OtherAETNA
NJ60026547OtherHORIZON NJ HEALTH
PA103106338 0001Medicaid
NJ3K6123OtherHEALTHNET
LA1434086Medicaid
NJ2467130OtherUNITED HEALTHCARE
NJP3723122OtherOXFORD
NJ1416198OtherAETNA
H25521Medicare UPIN
NJ00116025Medicaid
NJ106804CN9Medicare PIN