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Mercy Management of Southeastern Pennsylvania

General Practice Physician in Philadelphia, PA · enumerated 2005 · authorized official Douglas Smith, Vp Financial Services.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1396721494

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Registry record

Entity type Organization (Type 2)
Legal business name Mercy Management of Southeastern Pennsylvania
Other name <Unavail>
Practice address 501 S 54th St, Philadelphia, PA, 19143
Fax (215) 748-9708
Enumeration date Dec 20, 2005
Last updated in NPPES May 8, 2008

Taxonomy & classification

208D00000X General Practice Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Douglas Smith
Title Vp Financial Services

Other identifiers

Identifier Type State Issuer
100778793 0157 Medicaid PA -
1543646 Other PA BLUE SHIELD COMP
1543646 Other PA BLUE SHIELD PA PR
1543648 Other PA AMERIHEALTH ADMIN
2228313000 Other PA AMERIHEALTH DELAWARE
2228313000 Other PA BLUE SHIELD LLIN
33695 Other PA HEALTH PARTNERS SENIOR
1543646 Other PA BLUE SHIELD
2228313000 Other PA KEYSTONE 65 SPECIAL
2507496 Other PA AETNA MEDICARE HMO
2228313000 Other PA AMERIHEALTH HMO
2228313000 Other PA AMERIHEALTH NEW JERSEY
2228313000 Other PA KEYSTONE HEALTH PLAN
33695 Other PA HEALTH PARTNERS
125183600 Other PA DEPT OF LABOR
2507496 Other PA AETNA HMO SPECIALIST
1543646 Other PA BLUE SHIELD PA 65
7770198 Other PA AETNA OTHER
G000668600 Other PA AMERICHOICE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Mercy Management of Southeastern Pennsylvania located?
The practice location on file with NPPES is in Philadelphia, PA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-05-08. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-05-08.