Active NPI
Greenville Pediatric Associates, LTD
- Pediatrics Physician
- Greenville, PA
National Provider Identifier
1194811547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- OS003941L
- Legal business name
- GREENVILLE PEDIATRIC ASSOCIATES, LTD
- Practice address
- 2 Greenville Orthopedic Ctr
Greenville, PA 16125-1210 - Phone
- (724) 588-1400
- Fax
- (724) 588-1436
- NPI assigned
- Oct 5, 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
- Dr. Carl E Meyer, D.O.
- Title
- Owner
- Phone
- (724) 588-1400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | OS003941L | PA | Primary |
Addresses
Primary practice location
2 Greenville Orthopedic Ctr
Greenville, PA 16125-1210
Mailing address
2 Greenville Orthopedic Ctr
Greenville, PA 16125-1210
Phone (724) 588-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010267450003 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
2 Greenville Orthopedic Ctr
Greenville, PA 16125
Phone (724) 588-1400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201564800000",
"number": "1194811547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 GREENVILLE ORTHOPEDIC CTR",
"city": "GREENVILLE",
"state": "PA",
"postal_code": "161251210",
"telephone_number": "724-588-1400",
"fax_number": "724-588-1436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 GREENVILLE ORTHOPEDIC CTR",
"city": "GREENVILLE",
"state": "PA",
"postal_code": "161251210",
"telephone_number": "724-588-1400",
"fax_number": "724-588-1436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENVILLE PEDIATRIC ASSOCIATES, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2008-01-29",
"status": "A",
"authorized_official_last_name": "MEYER",
"authorized_official_first_name": "CARL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "724-588-1400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "PA",
"license": "OS003941L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010267450003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, PA
- Greenville Medical Center
- Greenville Medical Center - Upmc
- Greenville Neuromodulation Center, Inc.
- Greenville Orthopedic Association,Inc
- Greenville Otolaryngology, P.C.
- Greenville Plastic Surgery Associates, LTD
- Greenville Rehabilitation & Nursing LLC (Kadima Rehabilitation & Nursing at Greenville)
- Greenville Surgical Assoc., P.C.
- Christopher M. Griebel
- Heather Christine Groeger, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.