1. Home
  2. Directory
  3. Pennsylvania
  4. Conshohocken
  5. Internal Medicine
  6. NPI Profile

DAVITA MEDICAL GROUP PHILADELPHIA, LLC
NPI 1194297127
Internal Medicine in Conshohocken, PA

Active since January 02, 2019
300 W 4TH AVE STE 260, CONSHOHOCKEN, PA 19428(215) 568-4678 Get Directions Write a Review

NPPES record last updated: January 2, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Davita Medical Group Philadelphia, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVITA MEDICAL GROUP PHILADELPHIA, LLC (NPI 1194297127), doing business as Tandigm Care Services (bh), is a healthcare organization registered as an internal medicine in Conshohocken, Pennsylvania and active in the NPI registry since January 2019. The organization lists Michael Terrence Werner, Sr. Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1194297127
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDAVITA MEDICAL GROUP PHILADELPHIA, LLC
Location Address300 W 4TH AVE STE 260Conshohocken, PA 19428-1607
Mailing Address300 W 4th Ave Ste 260Conshohocken, PA 19428-1607
Phone(215) 568-4678
Organization SubpartNo
Authorized OfficialMichael Terrence WernerSr. Director Of Operations · (215) 568-4678
Enumeration DateJanuary 2, 2019
✔ NPI 1194297127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
300 W 4TH AVE STE 260, Conshohocken, PA 19428
Open in Google Maps ↗

Other Names 1

Doing Business AsTandigm Care Services (bh)

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JERIAH AMEIGH
Pharmacist
300 W 4TH AVE STE 260
CONSHOHOCKEN, PA 19428
Montgomery County (610) 276-1264
TANDIGM CARE SOLUTIONS, LLC
Psychologist (Cognitive & Behavioral)
300 W 4TH AVE STE 260
CONSHOHOCKEN, PA 19428
Montgomery County (215) 568-4678
DR. DIANA FRID PHARM.D
Pharmacist
300 W 4TH AVE STE 260
CONSHOHOCKEN, PA 19428
Montgomery County (610) 276-9819

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Davita Medical Group Philadelphia, LLC's NPI number?

The NPI number for Davita Medical Group Philadelphia, LLC is 1194297127. It was assigned to this organization in the NPPES registry on January 2, 2019. The provider is doing business as Tandigm Care Services (BH).

Where is Davita Medical Group Philadelphia, LLC located?

Davita Medical Group Philadelphia, LLC is located at 300 W 4th Ave Ste 260, Conshohocken, PA 19428. The listed phone number is (215) 568-4678.

What is Davita Medical Group Philadelphia, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Davita Medical Group Philadelphia, LLC was last updated on January 2, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.