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  7. NPI Record 1265877906

MICHAEL ROBERT SARGEN MD
Complete NPI Record 1265877906
Internal Medicine in Philadelphia, PA

NPI Status: Active since May 08, 2013

Contact Information

800 SPRUCE ST
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 829-5410

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Provider Last Name Legal Name
  4. Provider First Name
  5. Provider Middle Name
  6. Provider Credential Text
  7. Provider First Line Business Mailing Address
  8. Provider Business Mailing Address City Name
  9. Provider Business Mailing Address State Name
  10. Provider Business Mailing Address Postal Code
  11. Provider Business Mailing Address Country Code If outside U S
  12. Provider Business Mailing Address Telephone Number
  13. Provider First Line Business Practice Location Address
  14. Provider Business Practice Location Address City Name
  15. Provider Business Practice Location Address State Name
  16. Provider Business Practice Location Address Postal Code
  17. Provider Business Practice Location Address Country Code If outside U S
  18. Provider Business Practice Location Address Telephone Number
  19. Provider Enumeration Date
  20. Last Update Date
  21. Provider Gender Code
  22. Healthcare Provider Taxonomy Code 1
  23. Provider License Number 1
  24. Provider License Number State Code 1
  25. Healthcare Provider Primary Taxonomy Switch 1
  26. Healthcare Provider Taxonomy Code 2
  27. Provider License Number 2
  28. Provider License Number State Code 2
  29. Healthcare Provider Primary Taxonomy Switch 2
  30. Is Sole Proprietor

Complete NPI Dataset

This page represents the complete record for NPI 1265877906. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1265877906
Entity Type Code: 1
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
The last name of the provider. If the provider is an individual, this is the legal name.
Provider First Name: MICHAEL
The first name of the provider, if the provider is an individual.
Provider Middle Name: ROBERT
The middle name of the provider, if the provider is an individual.
Provider Credential Text: MD
The second line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider second line location address’’.
Provider First Line Business Mailing Address: 1525 CLIFTON RD NE
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address City Name: ATLANTA
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: GA
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address Postal Code: 303224200
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Telephone Number: 4047273669
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider First Line Business Practice Location Address: 800 SPRUCE ST
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: PHILADELPHIA
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address State Name: PA
The city name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code: 191076130
The State code in the location of the provider being identified.
Provider Business Practice Location Address Country Code If outside U S : US
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number: 2158295410
The country code in the location address of the provider being identified.
Provider Enumeration Date: 5/8/2013
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 3/10/2016
The fax number associated with the location address of the provider being identified.
Provider Gender Code: M
The date the provider was assigned a unique identifier (assigned an NPI).
Healthcare Provider Taxonomy Code 1: 207R00000X
The date that a record was last updated or changed.
Provider License Number 1: MT203965
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Provider License Number State Code 1: PA
The first name of the authorized official.
Healthcare Provider Primary Taxonomy Switch 1: Y
Healthcare Provider Taxonomy Code 2: 390200000X
The title or position of the authorized official.
Provider License Number 2: MT203965
The 10-position telephone number of the authorized official.
Provider License Number State Code 2: PA
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 2: N
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Is Sole Proprietor: N
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No