Organization Active NPI

Lewistown Cardiology Associates PC

  • Cardiovascular Disease Physician
  • Burnham, PA
National Provider Identifier
1174582589
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
LEWISTOWN CARDIOLOGY ASSOCIATES PC
Practice address
217 South Logan Blvd
Burnham, PA 17009-1840
Phone
(717) 248-5431
Fax
(717) 248-5038
NPI assigned
Mar 23, 2006
Last updated
Oct 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Authorized official

Name
Arvind L Suthar, MDNPI 1578537635
Title
President
Phone
(717) 248-5431

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 SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

217 South Logan Blvd
Burnham, PA 17009-1840

Mailing address

217 S Logan Blvd
Burnham, PA 17009-1840
Phone (717) 248-5431

Other identifiers 1

IdentifierTypeStateIssuer
0015340560005MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1174582589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 S LOGAN BLVD",
            "city": "BURNHAM",
            "state": "PA",
            "postal_code": "170091840",
            "telephone_number": "717-248-5431",
            "fax_number": "717-248-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 SOUTH LOGAN BLVD",
            "city": "BURNHAM",
            "state": "PA",
            "postal_code": "170091840",
            "telephone_number": "717-248-5431",
            "fax_number": "717-248-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWISTOWN CARDIOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "SUTHAR",
        "authorized_official_first_name": "ARVIND",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-248-5431",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015340560005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnham, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.