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  7. NPI Record 1457489320

TPI OBGYN DZURINKO
Complete NPI Record 1457489320
Obstetrics & Gynecology in Philadelphia, PA

NPI Status: Active since March 01, 2007

Contact Information

9331 OLD BUSTLETON AVE
2ND FLOOR
PHILADELPHIA, PA
ZIP 19115
Phone: (215) 728-7558
Fax: (215) 728-7552

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Employer Identification Number EIN
  4. Provider Organization Name Legal Business Name
  5. Provider Other Organization Name
  6. Provider Other Organization Name Type Code
  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 Business Mailing Address Fax Number
  14. Provider First Line Business Practice Location Address
  15. Provider Second Line Business Practice Location Address
  16. Provider Business Practice Location Address City Name
  17. Provider Business Practice Location Address State Name
  18. Provider Business Practice Location Address Postal Code
  19. Provider Business Practice Location Address Country Code If outside U S
  20. Provider Business Practice Location Address Telephone Number
  21. Provider Business Practice Location Address Fax Number
  22. Provider Enumeration Date
  23. Last Update Date
  24. Authorized Official Last Name
  25. Authorized Official First Name
  26. Authorized Official Title or Position
  27. Authorized Official Telephone Number
  28. Healthcare Provider Taxonomy Code 1
  29. Healthcare Provider Primary Taxonomy Switch 1
  30. Is Organization Subpart
  31. Parent Organization LBN
  32. Parent Organization TIN
  33. Healthcare Provider Taxonomy Group 1

Complete NPI Dataset

This page represents the complete record for NPI 1457489320. 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: 1457489320
The date the provider was assigned a unique identifier (assigned an NPI).
Entity Type Code: 2
The date that a record was last updated or changed.
Employer Identification Number EIN: UNAVAIL
The code designating the provider’s gender if the provider is a person.
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.
Provider Other Organization Name: TPI OBGYN DZURINKO
Other name by which the organization provider is or has been known.
Provider Other Organization Name Type Code: 5
Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
Provider First Line Business Mailing Address: PO BOX 820933
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: PHILADELPHIA
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: PA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 191820933
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).
Provider Business Mailing Address Country Code If outside U S : US
The last name of the provider. If the provider is an individual, this is the legal name.
Provider Business Mailing Address Telephone Number: 2159269000
The first name of the provider, if the provider is an individual.
Provider Business Mailing Address Fax Number: 2152268285
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider First Line Business Practice Location Address: 9331 OLD BUSTLETON AVE
The city name in the mailing address of the provider being identified.
Provider Second Line Business Practice Location Address: 2ND FLOOR
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Practice Location Address City Name: PHILADELPHIA
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address State Name: PA
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Business Practice Location Address Postal Code: 191154634
The date that a record was last updated or changed.
Provider Business Practice Location Address Country Code If outside U S : US
The code designating the provider’s gender if the provider is a person.
Provider Business Practice Location Address Telephone Number: 2157287558
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 2157287552
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 3/1/2007
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 2/1/2008
The date that a record was last updated or changed.
Authorized Official Last Name: SAVERING
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: LYNNIE
The first name of the authorized official.
Authorized Official Title or Position: DIRECTOR
The title or position of the authorized official.
Authorized Official Telephone Number: 2159269015
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 207V00000X
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 1: Y
Is Organization Subpart: Y
Parent Organization LBN: TEMPLE PHYSICIANS INC.
Parent Organization TIN: UNAVAIL
Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP