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
Last updated
Jan 8, 2014By the provider in NPPES
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, MDNPI 1144266412
Title
Partner
Phone
(724) 325-2133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

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.

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

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.

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.