NPIMap

Organization Active NPI

Meadville Medical Associates LLC

  • Internal Medicine Physician
  • Meadville, PA
National Provider Identifier
1124301064
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD443740 Issued in PA
Legal business name
MEADVILLE MEDICAL ASSOCIATES LLC
Practice address
765 Liberty Street
Suite 309
Meadville, PA 16335-2566
Phone
(814) 373-2997
Fax
(814) 373-2989
NPI assigned
Sep 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Authorized official

Name
Archana Anand, M.D.
Title
Owner
Phone
(856) 520-6717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD443740 PA Primary

Addresses

Primary practice location

765 Liberty Street
Suite 309
Meadville, PA 16335-2566

Mailing address

520 Shadow Oaks Dr.
Meadville, PA 16335
Phone (856) 520-6717

National Provider Directory

National Provider Directory

Locations

1034 Grove St
Ste PG1
Meadville, PA 16335

NPI Registry JSON

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1124301064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SHADOW OAKS DR.",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "16335",
            "telephone_number": "856-520-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 LIBERTY STREET",
            "address_2": "SUITE 309",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352566",
            "telephone_number": "814-373-2997",
            "fax_number": "814-373-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADVILLE MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-27",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "ANAND",
        "authorized_official_first_name": "ARCHANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-520-6717",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD443740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.