Organization Active NPI

Crawford County Sub-Specialists Group

  • Orthopaedic Surgery Physician
  • Meadville, PA
National Provider Identifier
1225047335
Registry record updated Nov 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CRAWFORD COUNTY SUB-SPECIALISTS GROUP
Practice address
640 Alden St
Meadville, PA 16335-2348
Phone
(814) 724-1252
Fax
(814) 333-8871
NPI assigned
Aug 7, 2006
Last updated
Nov 23, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
MEADVILLE MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 23, 2007

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

Authorized official

Name
Mrs. Kay A. Higby
Title
Office Manager
Phone
(814) 724-1252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X PA Primary

Addresses

Primary practice location

640 Alden St
Meadville, PA 16335-2348

Mailing address

640 Alden St
Meadville, PA 16335-2348
Phone (814) 724-1252

Other identifiers 2

IdentifierTypeStateIssuer
1017086210001MedicaidPA
1885718OtherPAHIGHMAK

National Provider Directory

National Provider Directory
Part of
Echocardiology Meadvill

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195776000000",
    "number": "1225047335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 ALDEN ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352348",
            "telephone_number": "814-724-1252",
            "fax_number": "814-333-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 ALDEN ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352348",
            "telephone_number": "814-724-1252",
            "fax_number": "814-333-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAWFORD COUNTY SUB-SPECIALISTS GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEADVILLE MEDICAL CENTER",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-11-23",
        "status": "A",
        "authorized_official_last_name": "HIGBY",
        "authorized_official_first_name": "KAY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "814-724-1252",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017086210001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMAK",
            "identifier": "1885718",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; 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.