Ltc Aco Participant 104, PC
NPI 1184574212 · Geriatric Medicine (Internal Medicine) Physician · Norristown, PA
Ltc Aco Participant 104, PC is a Geriatric Medicine (Internal Medicine) Physician organization in Norristown, PA (NPI 1184574212).
Provider details
- NPI number
- 1184574212
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jill Ford, Dir. of Cred / Authorized Official(859) 291-4800
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-01-29
- Last updated
- 2026-01-29
- Certified
- 2026-01-29
Frequently asked questions
- What is Ltc Aco Participant 104, PC's NPI number?
- Ltc Aco Participant 104, PC's National Provider Identifier (NPI) is 1184574212, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ltc Aco Participant 104, PC?
- Ltc Aco Participant 104, PC is classified in the NPPES registry as Geriatric Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Ltc Aco Participant 104, PC located?
- Ltc Aco Participant 104, PC's practice location on file with NPPES is 1700 Pine St, Norristown, PA 19401-3040.
- What is Ltc Aco Participant 104, PC's phone number?
- The practice phone number listed in the NPPES registry for Ltc Aco Participant 104, PC is (610) 237-7100.
- Who is the authorized official for Ltc Aco Participant 104, PC?
- The authorized official listed on Ltc Aco Participant 104, PC's NPPES record is Jill Ford, Dir. of Cred / Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ltc Aco Participant 104, PC's NPI active?
- Yes — Ltc Aco Participant 104, PC's NPI (1184574212) is active in the NPPES registry as of the last update on 2026-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.