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  7. NPI Record 1588891063

MRS. ANCY SKARIAH DO
Complete NPI Record 1588891063
Internal Medicine in Bryn Mawr, PA

NPI Status: Active since June 11, 2009

Contact Information

130 S BRYN MAWR AVE
SUITE H321
BRYN MAWR, PA
ZIP 19010
Phone: (484) 337-4097
Fax: (484) 337-4082

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Provider Last Name Legal Name
  4. Provider First Name
  5. Provider Name Prefix Text
  6. Provider Credential Text
  7. Provider Other Last Name
  8. Provider Other First Name
  9. Provider Other Last Name Type Code
  10. Provider First Line Business Mailing Address
  11. Provider Second Line Business Mailing Address
  12. Provider Business Mailing Address City Name
  13. Provider Business Mailing Address State Name
  14. Provider Business Mailing Address Postal Code
  15. Provider Business Mailing Address Country Code If outside U S
  16. Provider Business Mailing Address Telephone Number
  17. Provider Business Mailing Address Fax Number
  18. Provider First Line Business Practice Location Address
  19. Provider Second Line Business Practice Location Address
  20. Provider Business Practice Location Address City Name
  21. Provider Business Practice Location Address State Name
  22. Provider Business Practice Location Address Postal Code
  23. Provider Business Practice Location Address Country Code If outside U S
  24. Provider Business Practice Location Address Telephone Number
  25. Provider Business Practice Location Address Fax Number
  26. Provider Enumeration Date
  27. Last Update Date
  28. Provider Gender Code
  29. Healthcare Provider Taxonomy Code 1
  30. Provider License Number 1
  31. Provider License Number State Code 1
  32. Healthcare Provider Primary Taxonomy Switch 1
  33. Is Sole Proprietor

Complete NPI Dataset

This page represents the complete record for NPI 1588891063. 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: 1588891063
The fax number associated with the location address of the provider being identified.
Entity Type Code: 1
The date the provider was assigned a unique identifier (assigned an NPI).
The date that a record was last updated or changed.
Provider First Name: ANCY
The code designating the provider’s gender if the provider is a person.
Provider Name Prefix Text: MRS.
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 Credential Text: DO
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider Other Last Name: THOMAS
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Provider Other First Name: ANCY
Provider Other Last Name Type Code: 1
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No
Provider First Line Business Mailing Address: 130 S BRYN MAWR AVE
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 Second Line Business Mailing Address: SUITE H321
The second line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider second line location address’’.
Provider Business Mailing Address City Name: BRYN MAWR
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: 190103121
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number: 4843374097
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider Business Mailing Address Fax Number: 4843374082
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider First Line Business Practice Location Address: 130 S BRYN MAWR AVE
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location Address: SUITE H321
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: BRYN MAWR
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: PA
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 190103121
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 4843374097
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 4843374082
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 6/11/2009
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 11/2/2015
The date that a record was last updated or changed.
Provider Gender Code: F
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 207R00000X
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 License Number 1: OS015798
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 1: PA
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Sole Proprietor: N
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No