NPIMap

Organization Active NPI

Center for Digestive Health and Nutrition

  • Gastroenterology Physician
  • Moon Township, PA
National Provider Identifier
1194864504
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
CENTER FOR DIGESTIVE HEALTH AND NUTRITION
Practice address
725 Cherrington Parkway
Suite 100
Moon Township, PA 15108-4305
Phone
(412) 262-1000
Fax
(412) 262-4607
NPI assigned
Feb 5, 2007
Last updated
Feb 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Authorized official

Name
Dr. Lester E Stine, MDNPI 1184606410
Title
Medical Director
Phone
(412) 262-1000

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
Gastroenterology Physician 207RG0100X Primary

Addresses

Primary practice location

725 Cherrington Parkway
Suite 100
Moon Township, PA 15108-4305

Mailing address

725 Cherrington Parkway
Suite 100
Moon Township, PA 15108-4305
Phone (412) 262-1000

Other identifiers 1

IdentifierTypeStateIssuer
1007728510005MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040826000157 PA Part B Supplier - Clinic/Group Practice 4981678778 Receives reassigned benefits from 12 practitioners
Practice locations: Coraopolis, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0954875Center for Digestive Health Nutrition725 Cherrington Parkway Suite 100, Moon Township, PA 15108Certificate of waiverDec 9, 2026
39D2056384Center for Digestive Health Nutrition725 Cherrington Parkway Suite 100, Moon Township, PA 15108ComplianceOct 7, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1194864504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 CHERRINGTON PARKWAY",
            "address_2": "SUITE 100",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151084305",
            "telephone_number": "412-262-1000",
            "fax_number": "412-262-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 CHERRINGTON PARKWAY",
            "address_2": "SUITE 100",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151084305",
            "telephone_number": "412-262-1000",
            "fax_number": "412-262-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR DIGESTIVE HEALTH AND NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "STINE",
        "authorized_official_first_name": "LESTER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "412-262-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007728510005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moon Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.