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THE MODERN COUNTRY DOCTOR, LLC
NPI 1225650930
Family Medicine in Paoli, PA

Active since May 15, 2020
23 INDUSTRIAL BLVD STE D, PAOLI, PA 19301(610) 890-8522(484) 568-4748 Get Directions Write a Review

NPPES record last updated: May 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Modern Country Doctor, Llc NPPES

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

THE MODERN COUNTRY DOCTOR, LLC (NPI 1225650930) is a healthcare organization registered as a family medicine in Paoli, Pennsylvania and active in the NPI registry since May 2020. The organization lists Dennis Faith, Owner, as its authorized official.

NPPES Registry Identity

NPI1225650930
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTHE MODERN COUNTRY DOCTOR, LLC
Location Address23 INDUSTRIAL BLVD STE DPaoli, PA 19301-1601
Mailing Address23 Industrial Blvd Ste DPaoli, PA 19301-1601 · (610) 890-8522 · Fax (484) 568-4748
Phone(610) 890-8522
Fax(484) 568-4748
Organization SubpartNo
Authorized OfficialDennis FaithOwner · (610) 890-8522
Enumeration DateMay 15, 2020
NPPES CertifiedMay 15, 2020
✔ NPI 1225650930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
23 INDUSTRIAL BLVD STE D, Paoli, PA 19301
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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 The Modern Country Doctor, LLC's NPI number?

The NPI number for The Modern Country Doctor, LLC is 1225650930. It was assigned to this organization in the NPPES registry on May 15, 2020.

Where is The Modern Country Doctor, LLC located?

The Modern Country Doctor, LLC is located at 23 Industrial Blvd Ste D, Paoli, PA 19301. The listed phone number is (610) 890-8522.

What is The Modern Country Doctor, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for The Modern Country Doctor, LLC was last updated on May 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.