Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mercy Management of Southeastern Pennsylvania

Organization Gastroenterology Physician · NPI 1730372459

Mercy Management of Southeastern Pennsylvania provides Gastroenterology Physician services in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007

Practice location Address checks out

501 S 54th St 4th Fl
Philadelphia, PA 19143-1900 Not confirmed with CMS for 19 years — call before visiting
Phone: (215) 748-9833
Fax: (215) 748-9866
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence MD061765L (PA)

Record details

NPI number1730372459
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Smith — Vp Patient Financial Services · (610) 567-6964
Other names Mercy Gastroenterology Associates
NPI enumeratedAugust 27, 2007
Last updated in NPPESAugust 27, 2007
Mailing address1 W Elm St, Suite 100, Conshohocken, PA 19428-2007

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