Organization Active NPI

Twin Rivers Gastroenterology Center,Inc

  • Medical Microbiology Physician
  • Easton, PA
National Provider Identifier
1154543486
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Microbiology PhysicianTaxonomy code 207ZM0300X
Legal business name
TWIN RIVERS GASTROENTEROLOGY CENTER,INC
Practice address
20 Community Dr
Easton, PA 18045-2658
Phone
(610) 258-6635
Fax
(610) 258-2879
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Mrs. Diane Dandrow, CMM
Title
Office Manager
Phone
(610) 258-6635

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Microbiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZM0300X Primary

Addresses

Primary practice location

20 Community Dr
Easton, PA 18045-2658

Mailing address

20 Community Dr
Easton, PA 18045-2658
Phone (610) 258-6635

Other names 1

  • East Penn Pathology Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1154543486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COMMUNITY DR",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452658",
            "telephone_number": "610-258-6635",
            "fax_number": "610-258-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COMMUNITY DR",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452658",
            "telephone_number": "610-258-6635",
            "fax_number": "610-258-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN RIVERS GASTROENTEROLOGY CENTER,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "DANDROW",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-258-6635",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMM"
    },
    "taxonomies": [
        {
            "code": "207ZM0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Medical Microbiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Penn Pathology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.