Active NPI
Grove City Medical Center
- Anatomic Pathology & Clinical Pathology Physician
- Grove City, PA
National Provider Identifier
1013017763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 210801
- Legal business name
- GROVE CITY MEDICAL CENTER
- Practice address
- 631 N Broad Street Ext
Grove City, PA 16127-4603 - Phone
- (724) 450-7000
- NPI assigned
- Sep 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Jackson Jr.
- Title
- Ceo
- Phone
- (724) 450-7197
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 210801 | PA | Primary |
Addresses
Primary practice location
631 N Broad Street Ext
Grove City, PA 16127-4603
Mailing address
631 N Broad Street Ext
Grove City, PA 16127-4603
Other names 1
- Grove City Medical Center Pathology
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218067200000",
"number": "1013017763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 N BROAD STREET EXT",
"city": "GROVE CITY",
"state": "PA",
"postal_code": "161274603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 N BROAD STREET EXT",
"city": "GROVE CITY",
"state": "PA",
"postal_code": "161274603",
"telephone_number": "724-450-7000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROVE CITY MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-23",
"last_updated": "2008-08-07",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "724-450-7197",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "PA",
"license": "210801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Grove City Medical Center Pathology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grove City, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.