Active NPI
Pradeep S. Ghia, M.D., P.C.
- Cardiovascular Disease Physician
- Easton, PA
National Provider Identifier
1174624530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD-037787-L
- Legal business name
- PRADEEP S. GHIA, M.D., P.C.
- Practice address
- 123 S 22ND St
Easton, PA 18042-3808 - Phone
- (610) 258-6211
- Fax
- (610) 258-9995
- NPI assigned
- Sep 26, 2006
- 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
- Pradeep S Ghia, M.D.
- Title
- Owner/President
- Phone
- (610) 258-6211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD-037787-L | PA | Primary |
Addresses
Primary practice location
123 S 22ND St
Easton, PA 18042-3808
Mailing address
123 S 22ND St
Easton, PA 18042-3808
Phone (610) 258-6211
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116979 | Other | PA | HIGHMARK BLUE SHIELD |
| 5272700 | Medicaid | NJ | |
| DQ9730 | Other | PA | PALMETTA GBA MEDICARE RAILROAD |
| 9497710003 | Medicaid | PA | |
| 03201100 | Other | PA | CAPITAL BLUE CROSS |
| DQ3372 | Other | NJ | PALMETTA GBA MEDICARE RAILROAD |
National Provider Directory
National Provider DirectoryLocations
123 S 22nd St
Easton, PA 18042
Phone (215) 258-6211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359417600000",
"number": "1174624530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 S 22ND ST",
"city": "EASTON",
"state": "PA",
"postal_code": "180423808",
"telephone_number": "610-258-6211",
"fax_number": "610-258-9995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 S 22ND ST",
"city": "EASTON",
"state": "PA",
"postal_code": "180423808",
"telephone_number": "610-258-6211",
"fax_number": "610-258-9995"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRADEEP S. GHIA, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2013-01-29",
"status": "A",
"authorized_official_last_name": "GHIA",
"authorized_official_first_name": "PRADEEP",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "610-258-6211",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD-037787-L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "116979",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5272700",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTA GBA MEDICARE RAILROAD",
"identifier": "DQ9730",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9497710003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "03201100",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTA GBA MEDICARE RAILROAD",
"identifier": "DQ3372",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}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 Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.