Active NPI
Anthracite Emergency Physicians
- Emergency Medicine Physician
- Pottsville, PA
National Provider Identifier
1023069226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- ANTHRACITE EMERGENCY PHYSICIANS
- Practice address
- 700 E Norwegian St
Pottsville, PA 17901-2710 - Phone
- (570) 621-4656
- Fax
- (570) 628-2210
- NPI assigned
- May 12, 2006
- Last updated
- Apr 20, 2008
- 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
- Dr. Eric Goldman, DO
- Title
- Medical Director
- Phone
- (570) 621-4656
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
700 E Norwegian St
Pottsville, PA 17901-2710
Mailing address
232 Lakeside Dr
Horsham, PA 19044-2319
Phone (215) 442-5021
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1008810600001 | Medicaid | PA | |
| AN1586870 | Other | PA | BLUE SHIELD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 22
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Emergency Medicine Physician
- Pottsville, PA
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- Emergency Medicine Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1023069226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 LAKESIDE DR",
"city": "HORSHAM",
"state": "PA",
"postal_code": "190442319",
"telephone_number": "215-442-5021",
"fax_number": "215-957-2875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 E NORWEGIAN ST",
"city": "POTTSVILLE",
"state": "PA",
"postal_code": "179012710",
"telephone_number": "570-621-4656",
"fax_number": "570-628-2210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANTHRACITE EMERGENCY PHYSICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-12",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "GOLDMAN",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "570-621-4656",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1008810600001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "AN1586870",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pottsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.