Organization Active NPI

Quality Care Internal Medicine

  • Cardiovascular Disease Physician
  • Bradford, PA
National Provider Identifier
1154581361
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS013889 Issued in PA
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

Updated by the provider on Jun 11, 2008

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.NPI 1093920746
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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.