Basic Information
| Provider Information | |||||||||
| NPI: | 1992716419 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ECHOLS | ||||||||
| FirstName: | KAROLYNN | ||||||||
| MiddleName: | T | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 833 CHESTNUT ST | ||||||||
| Address2: | 1ST FLOOR | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191074414 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2159555000 | ||||||||
| FaxNumber: | 2159231089 | ||||||||
| Practice Location | |||||||||
| Address1: | 833 CHESTNUT ST | ||||||||
| Address2: | 1ST FLOOR | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191074414 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2159555000 | ||||||||
| FaxNumber: | 2159231089 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/10/2006 | ||||||||
| LastUpdateDate: | 08/17/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207VG0400X | 78634 | LA | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecology | 207VG0400X | MA08141000 | NJ | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecology | 207VF0040X | 25MA08141000 | NJ | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Female Pelvic Medicine and Reconstructive Surgery | 207V00000X | MD457698 | PA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 010078024 | 01 | NJ | AMERICHOICE | OTHER | 2793597000 | 01 | NJ | AMERIHEALTH/KEYSTON/IBC | OTHER | 1416198 | 01 | NJ | AETNA | OTHER | 7791521 | 01 | NJ | AETNA | OTHER | 6498081 | 01 | NJ | CIGNA | OTHER | 00116025 | 05 | NJ | MEDICAID | 103106338 0002 | 05 | PA | MEDICAID | 1416199 | 01 | NJ | AETNA | OTHER | 60026547 | 01 | NJ | HORIZON NJ HEALTH | OTHER | 103106338 0001 | 05 | PA | MEDICAID | 3K6123 | 01 | NJ | HEALTHNET | OTHER | 1434086 | 05 | LA | MEDICAID | 2467130 | 01 | NJ | UNITED HEALTHCARE | OTHER | P3723122 | 01 | NJ | OXFORD | OTHER |