Organization Active NPI

Irwin Medical Associates PLLC

  • Adult Medicine Physician
  • Bradford, PA
National Provider Identifier
1093286031
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
IRWIN MEDICAL ASSOCIATES PLLC
Practice address
900 Chestnut Street Ext Ste a
Bradford, PA 16701-2298
Phone
(814) 817-2870
Fax
(814) 368-8041
NPI assigned
Dec 17, 2018
Last updated
Dec 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Authorized official

Name
Mrs. Diane Irwin, RN
Title
Practice Manager
Phone
(814) 817-2870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

900 Chestnut Street Ext Ste a
Bradford, PA 16701-2298

Mailing address

900 Chestnut Street Ext Ste a
Bradford, PA 16701-2298
Phone (814) 817-2870

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1093286031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CHESTNUT STREET EXT STE A",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167012298",
            "telephone_number": "814-817-2870",
            "fax_number": "814-368-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CHESTNUT STREET EXT STE A",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167012298",
            "telephone_number": "814-817-2870",
            "fax_number": "814-368-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRWIN MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "IRWIN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "814-817-2870",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.