Organization Active NPI

Greenville Pediatric Associates, LTD

  • Pediatrics Physician
  • Greenville, PA
National Provider Identifier
1194811547
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
OS003941L Issued in PA
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

Updated by the provider on Jan 29, 2008

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0010267450003MedicaidPA

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.