| NPI | 1154546398 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2007-04-14 |
| Last Updated | 2019-10-24 |
| Mailing Address | 2130 Spring Garden St Philadelphia, PA 19130-3502 United States Phone: (215) 955-9555 | Fax: (215) 988-0545 📍 View Map |
| Primary Practice Address | Jefferson Health - Art Museum, 2130 Spring Garden Street Philadelphia, PA 19130 United States Phone: (215) 955-9555 | Fax: (215) 988-0545 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | NJ | 0206792 | - |
| MEDICAID | PA | 1023701010001 | - |
| MEDICAID | PA | 1023701010002 | - |
| Other (non-Medicare) | PA | MT188353 | Medical training liscense |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207Q00000X – Family Medicine | PA | MT188353 |
| Yes | 207Q00000X – Family Medicine | PA | MD436271 |
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About NPI 1154546398
Kathryn Pool Trayes M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1154546398. The primary specialty listed is Family Medicine. The provider is located in Philadelphia, PA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-04-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1154546398?
NPI 1154546398 belongs to Kathryn Pool Trayes M.D., a Family Medicine in Philadelphia, PA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1154546398 active?
The current status of NPI 1154546398 in the NPPES registry is Active. The record was last updated on 2019-10-24.
What specialty is NPI 1154546398?
NPI 1154546398 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1154546398?
You can verify NPI 1154546398 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1154546398?
The primary practice address on file for NPI 1154546398 is Jefferson Health - Art Museum, Philadelphia, PA 19130. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1154546398 issued?
NPI 1154546398 was first issued (enumerated) on 2007-04-14. The NPPES record was last updated on 2019-10-24.
Practice Location Map
Kathryn Pool Trayes is located at Jefferson Health - Art Museum, Philadelphia, PA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Kathryn Pool Trayes. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1154546398. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | MT188353 | PA |
| Family Medicine | MD436271 | PA |