IM/DRU ASSOC OF FCCC, MGI
NPI 1538433610
Internal Medicine - Critical Care Medicine in Philadelphia, PA

NPI Status: Active since March 07, 2012

Contact Information

333 COTTMAN AVE
WEST BLDG/CRU
PHILADELPHIA, PA
ZIP 19111
Phone: (215) 728-6900
Fax: (215) 214-3901

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Internal Medicine
Critical Care Medicine

About IM/DRU ASSOC OF FCCC, MGI

This page provides the complete NPI Profile along with additional information for Im/dru Assoc Of Fccc, Mgi, an internist established in Philadelphia, Pennsylvania operating as a Internal Medicine, focusing in critical care medicine . The healthcare provider is registered in the NPI registry with number 1538433610 assigned on March 2012. The practitioner's primary taxonomy code is 207RC0200X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Im/dru Assoc Of Fccc, Mgi operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Im/dru Assoc Of Fccc, Mgi. The authorized official of this NPI record is Tonya Woodard (Credentialing/manager)

NPI: 1538433610
Provider Legal Name: FOX CHASE CANCER CENTER MEDICAL GROUP, INC
Other Organization Name: IM/DRU ASSOC OF FCCC, MGI
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 333 COTTMAN AVE WEST BLDG/CRU PHILADELPHIA, PA 19111
Location Phone: (215) 728-6900
Location Fax: (215) 214-3901
Mailing Address: 2450 W HUNTING PARK AVE PHILADELPHIA, PA 19129
Mailing Phone: (215) 728-2844
Mailing Fax: (215) 214-3901
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 03-07-2012
Last Update Date: 06-14-2018
Code Navigator

An internist like Im/dru Assoc Of Fccc, Mgi is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Internal Medicine Critical Care Medicine
Taxonomy Code: 207RC0200X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	207R00000X	Allopathic & Osteopathic Physicians	Internal Medicine

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: TONYA WOODARD
Authorized Official Title: CREDENTIALING/MANAGER
Authorized Official Phone: (215) 707-3911

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
1026888280016	MEDICAID (05)	PA

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	5	3	8	4	3	3	6	1	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	5	6	8	8	3	6	6	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 6 + 8 + 8 + 3 + 6 + 6 + 2 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1538433610 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

MR. RICHARD JOHN COLASANTE RPH

Pharmacist

333 COTTMAN AVE
PHILADELPHIA, PA
ZIP 19111

About IM/DRU ASSOC OF FCCC, MGI

Location Map

Specialty - Primary Taxonomy

Internal Medicine Critical Care Medicine

Secondary Taxonomies

Internal Medicine

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

Insurance Plans Accepted

Medicare

Medicaid

Authorized Official

TONYA WOODARD

Additional Identifiers

Reviews for IM/DRU ASSOC OF FCCC, MGI

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is IM/DRU ASSOC OF FCCC, MGI NPI number?

Where is the provider located?

What is the provider specialty code?

What insurance does IM/DRU ASSOC OF FCCC, MGI accept?

How do I update my NPI information?