NPIMap

Organization Active NPI

St. Catherine Physician Services of Pennsylvania, LLC

  • Anesthesiology Physician
  • Ashland, PA
National Provider Identifier
1003907999
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ST. CATHERINE PHYSICIAN SERVICES OF PENNSYLVANIA, LLC
Practice address
101 Broad St
Ashland, PA 17921-2147
Phone
(570) 875-6835
NPI assigned
Sep 27, 2006
Last updated
Feb 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert Lane
Title
Chairman
Phone
(570) 875-5835

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary
Family Medicine Physician 207Q00000X NU
Medical Oncology Physician 207RX0202X NU
Orthopaedic Surgery Physician 207X00000X NU
Surgery Physician 208600000X NU
Pain Medicine Physician 208VP0000X NU

Addresses

Primary practice location

101 Broad St
Ashland, PA 17921-2147

Mailing address

101 Broad St
Ashland, PA 17921-2147
Phone (570) 875-6835

Other identifiers 1

IdentifierTypeStateIssuer
1019269700001MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1003907999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BROAD ST",
            "city": "ASHLAND",
            "state": "PA",
            "postal_code": "179212147",
            "telephone_number": "570-875-6835",
            "fax_number": "570-875-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BROAD ST",
            "city": "ASHLAND",
            "state": "PA",
            "postal_code": "179212147",
            "telephone_number": "570-875-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CATHERINE PHYSICIAN SERVICES OF PENNSYLVANIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "570-875-5835"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019269700001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.