SURGERY CENTER AT PENNSYLVANIA HOSPITAL – NPI #1336304062
Clinic/Center

SURGERY CENTER AT PENNSYLVANIA HOSPITAL is an AHC clinic located in PHILADELPHIA, PA. NPPES has assigned the NPI number 1336304062 to SURGERY CENTER AT PENNSYLVANIA HOSPITAL on July 22, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SURGERY CENTER AT PENNSYLVANIA HOSPITAL” is a dba name, the actual legal business name for this organization is PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 3 years ago on Mar 30, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SURGERY CENTER AT PENNSYLVANIA HOSPITAL below.

NPI Profile for
PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM

NPI Number
1336304062
Enumeration Date

(about 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM
Doing Business As (dba): SURGERY CENTER AT PENNSYLVANIA HOSPITAL
Primary location
1840 SOUTH ST
PHILADELPHIA, PA 19146-7411
Phone: (215) 762-0630 Fax: (215) 762-0754
Mailing address
1500 MARKET ST
UPPER MEZZENINE 600
PHILA, PA 19102-2100
Phone: (215) 762-0630 Fax: (215) 762-0754
Organization Subpart
No
Authorized Official
THOMAS MCCORMICK
AVP OF FINANCE
Phone: (215) 762-0888
Updated
Certification Date
Mar 30, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.1068.1
Content Type
Affiliation
Y
Endpoint Location
2720 DUNDEE RD # 302,
NORTHBROOK, IL 77025-1669