Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mercy Management of Southeastern Pennsylvania

Organization Adult Reconstructive Orthopaedic Surgery Physician · NPI 1891771994

Mercy Management of Southeastern Pennsylvania is an Adult Reconstructive Orthopaedic Surgery Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2005.

Licensed in
PA
In the registry since
2005
Specialties on file
2
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Practice location Address checks out

501 S 54th St Ste 28
Philadelphia, PA 19143-1900
Phone: (215) 748-9822
Fax: (215) 748-9717
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Specialties & licences

Adult Reconstructive Orthopaedic Surgery Physician (primary) Taxonomy 207XS0114X · Licence MD047458 (PA)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence MD042497 (PA)

Record details

NPI number1891771994
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Smith — Vp Financial Services · (610) 567-6964
Other names Mms-Mercy Orthpaedics Associates
NPI enumeratedDecember 20, 2005
Last updated in NPPESMay 9, 2008
Mailing address1 W Elm St, 2nd Floor, Conshohocken, PA 19428-2007

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