OrganizationActive
Trinity Health Mid-Atlantic Medical Group
NPI 1497312656 · Family Medicine Physician · Philadelphia, PA
Provider details
- NPI number
- 1497312656
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Julie Keese, Vp, Finance and Cfo(301) 754-7201
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES 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
1407 Rhawn St
Philadelphia, PA 19111-2803
Phone: (267) 957-7027
Fax: (267) 957-7029
Street-level locationGet directions
Mailing address
41 University Dr Ste 300
Newtown, PA 18940-1873
Other names (DBA / former)
- Doing business as
- Nazareth Health Residency Center
Registry dates
- Enumerated
- 2019-05-23
- Last updated
- 2026-03-13
- Certified
- 2026-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.