Active NPI
Quality Care Internal Medicine
- Cardiovascular Disease Physician
- Bradford, PA
National Provider Identifier
1154581361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- OS013889
- Legal business name
- QUALITY CARE INTERNAL MEDICINE
- Practice address
- 195 Pleasant St
Suite 5
Bradford, PA 16701-1081 - Phone
- (814) 363-9540
- Fax
- (814) 363-9562
- NPI assigned
- Jun 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gregory Andrew Ambuske, D.O.
- Title
- Physician
- Phone
- (814) 363-9540
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | OS013889 | PA | Primary |
Addresses
Primary practice location
195 Pleasant St
Suite 5
Bradford, PA 16701-1081
Mailing address
195 Pleasant St
Suite 5
Bradford, PA 16701-1081
Phone (814) 363-9540
National Provider Directory
National Provider DirectoryLocations
195 Pleasant St
Unit 5
Bradford, PA 16701
Phone (814) 362-5701
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Colorado Springs, CO
- NPI 1093920746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213142400000",
"number": "1154581361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 PLEASANT ST",
"address_2": "SUITE 5",
"city": "BRADFORD",
"state": "PA",
"postal_code": "167011081",
"telephone_number": "814-363-9540",
"fax_number": "814-363-9562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 PLEASANT ST",
"address_2": "SUITE 5",
"city": "BRADFORD",
"state": "PA",
"postal_code": "167011081",
"telephone_number": "814-363-9540",
"fax_number": "814-363-9562"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUALITY CARE INTERNAL MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-11",
"last_updated": "2008-06-11",
"status": "A",
"authorized_official_last_name": "AMBUSKE",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "ANDREW",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "814-363-9540",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "OS013889",
"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 Jun 11, 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.