NPIMap

Organization Active NPI

East Suburban Pediatric Associates, LTD

  • Pediatrics Physician
  • North Huntingdon, PA
National Provider Identifier
1083740880
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
EAST SUBURBAN PEDIATRIC ASSOCIATES, LTD
Practice address
40 Lincoln Way
Suite 400
North Huntingdon, PA 15642-1852
Phone
(724) 863-8811
Fax
(724) 863-8526
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Authorized official

Name
Matthew A Keller, MD
Title
Partner
Phone
(724) 325-2133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

40 Lincoln Way
Suite 400
North Huntingdon, PA 15642-1852

Mailing address

40 Lincoln Way
Suite 400
North Huntingdon, PA 15642-1852
Phone (724) 863-8811

National Provider Directory

National Provider Directory
Tax ID family
East Suburban Pediatric Associates LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1083740880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 LINCOLN WAY",
            "address_2": "SUITE 400",
            "city": "NORTH HUNTINGDON",
            "state": "PA",
            "postal_code": "156421852",
            "telephone_number": "724-863-8811",
            "fax_number": "724-863-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 LINCOLN WAY",
            "address_2": "SUITE 400",
            "city": "NORTH HUNTINGDON",
            "state": "PA",
            "postal_code": "156421852",
            "telephone_number": "724-863-8811",
            "fax_number": "724-863-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SUBURBAN PEDIATRIC ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "724-325-2133",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Huntingdon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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.