Active NPI
Gopalkrisha M Trivedi, MD
- Anatomic Pathology Physician
- Lewistown, PA
National Provider Identifier
1124017645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- MD 023488 E
- Practice address
- 400 Highland Ave
Lewistown Hospital
Lewistown, PA 17044-1167 - Phone
- (717) 242-7208
- Fax
- (717) 242-7540
- NPI assigned
- Oct 18, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | MD 023488 E | PA | Primary |
Addresses
Primary practice location
400 Highland Ave
Lewistown Hospital
Lewistown, PA 17044-1167
Mailing address
PO Box 750
Scranton, PA 18501-0750
Phone (570) 346-7797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009395050004 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 023488 E | PA | MD | Anatomic Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203465600000",
"number": "1124017645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 750",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185010750",
"telephone_number": "570-346-7797",
"fax_number": "570-342-9802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HIGHLAND AVE",
"address_2": "LEWISTOWN HOSPITAL",
"city": "LEWISTOWN",
"state": "PA",
"postal_code": "170441167",
"telephone_number": "717-242-7208",
"fax_number": "717-242-7540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIVEDI",
"first_name": "GOPALKRISHA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-18",
"last_updated": "2008-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "PA",
"license": "MD 023488 E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009395050004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewistown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.