NPI Registry of Doctors in Gwynedd Valley. Find Phone Number, Address, Contact details of medical healthcare providers in Gwynedd Valley | NPI Number Lookup for all Doctors

NPI Look Up


Find National Provider Identifier (NPI) Number for doctors in Gwynedd Valley. You can filter your search by choosing the speciality of doctor you want to search. You can also find mailing address, contact information and other necessary information of all Doctors in Gwynedd Valley from the list given below.
Provider Name/NPIAddressTaxonomy
Dr. Charles E Pappas
NPI: 1053569269
 1357 Gypsy Hill Road, , Gwynedd Valley 19437 Plastic Surgery
Dr. Robert Segal
NPI: 1073799425
 106 Hillcrest Lane, , Gwynedd Valley 19437 Internal Medicine
Kristyn Holmes
NPI: 1194061895
 1120 Gypsy Hill Road, , Gwynedd Valley 19437 Community/Behavioral Health
Allen Oliff
NPI: 1194193656
 1412 Florence Dr, , Gwynedd Valley 19437 Internal Medicine
Mercedes Angelique Himmons
NPI: 1215275144
 1325 Sumneytown Pike, , Gwynedd Valley 19437 Specialist/Technologist
Dr. Jay K. Cherney
NPI: 1275597874
 709 Fox Hollow Road, , Gwynedd Valley 19437 Psychologist
Dr. Tedd Koren
NPI: 1306258389
 301 Wood Spring Road, , Gwynedd Valley 19437 Chiropractor
Dr. Patrick Thomas Martin
NPI: 1417251489
 213 Plymouth Road, , Gwynedd Valley 19437 Pediatrics
Ms. Patricia A Edinger
NPI: 1639144397
 1325 Sumneytown Pike, , Gwynedd Valley 19437 Specialist/Technologist
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What is NPI Number?
The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). This means that the numbers do not carry other information about healthcare providers, such as the state in which they live or their medical specialty. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Benefits of an NPI
- Simple electronic transmission of HIPAA standard transactions
- Standard unique health identifiers for health care providers, health care plans, and employers and
- Efficient coordination of benefit transactions


Where NPI should be used?
The NPI must be used in place of legacy provider identifiers, such as a Unique Provider Identification Number (UPIN), Online Survey Certification & Reporting (OSCAR) and National Supplier Clearinghouse (NSC) in HIPAA standard transactions. There are two categories of health care providers for NPI enumeration purposes. Entity Type 1 providers are individual providers who render health care (e.g., physicians, dentists, nurses). Sole proprietors and sole proprietorships are Entity Type 1 (Individual) providers. Organization health care providers (e.g., hospitals, home health agencies, ambulance companies) are considered Entity Type 2 (Organization) providers.
Obtaining an NPI Does Not:
- Ensure a provider is licensed or credential
- Guarantee payment by a health plan
- Enroll a provider in a health plan
- Turn a provider into a covered provider
- Require a provider to conduct HIPAA transactions or
- Change or replace the current Medicare enrolment or certification process
Who Must Obtain an NPI?
All health care providers who are HIPAA-covered entities, whether they are individuals (e.g., physicians, nurses, dentists, chiropractors, physical therapists, or pharmacists) or organizations (e.g., hospitals, home health agencies, clinics, nursing homes, residential treatment centers, laboratories, ambulance companies, group practices, Health Maintenance Organizations [HMOs], suppliers of durable medical equipment, pharmacies) must obtain an NPI. The NPI will be used by HIPAA-covered entities (e.g., health plans, health care clearinghouses, and certain health care providers) to identify health care providers in HIPAA standard transactions. A covered health care provider, under HIPAA, is any health care provider who transmits health information in electronic form in connection with a transaction for which the Secretary of Health and Human Services has adopted a standard, even if the health care provider uses a business associate to do so.
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