Provider Demographics
NPI:1730418393
Name:MEDSCOPE AMERICA CORPORATION
Entity type:Organization
Organization Name:MEDSCOPE AMERICA CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-642-9881
Mailing Address - Street 1:PO BOX 194
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-0194
Mailing Address - Country:US
Mailing Address - Phone:610-642-9881
Mailing Address - Fax:610-896-7233
Practice Address - Street 1:259 E LANCASTER AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-1915
Practice Address - Country:US
Practice Address - Phone:610-642-9881
Practice Address - Fax:610-896-7233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-10
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0018810990001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018810990001OtherPERS