Active NPI
Oscar Laborda, M.D.
- Gastroenterology Physician
- Media, PA
National Provider Identifier
1235113036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD016384E
- Practice address
- 1088 W Baltimore Pike
Suite 2407
Media, PA 19063 - Phone
- (610) 565-1808
- Fax
- (610) 892-9535
- NPI assigned
- Dec 5, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD016384E | PA | Primary |
Addresses
Primary practice location
1088 W Baltimore Pike
Suite 2407
Media, PA 19063
Mailing address
PO Box 350
Sellersville, PA 18960-0350
Phone (215) 723-2333
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000315032 06 | Other | PA | UNITED HEALTH CARE |
| 0000673779 | Other | PA | BOEING BLUE SHIELD |
| 0031422000 | Other | PA | KEYSTONE HEALTHPLAN EAST |
| 1334935 | Other | PA | CIGNA |
| 0030907 | Other | PA | AETNA US HEALTHCARE |
| 0031422000 | Other | PA | AMERIHEALTH |
| 0000161491 | Other | PA | INDEPENDENCE BLUE CROSS |
| 0000673779 | Other | PA | HORIZON BLUE SHIELD |
| 0000161491 | Other | PA | BLAIR MILL |
| 0007274050003 | Medicaid | PA | |
| 0031422000 | Other | PA | PERSONAL CHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delco Gastroenterology P.C. | Gastroenterology | Past | Accepting new patients |
| Rgal Anesthesia Services LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gastroenterology Physician
- Media, PA
- NPI 1497766885
-
- Anesthesiology Physician
- Lancaster, PA
- NPI 1699055251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269820800000",
"number": "1235113036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 350",
"city": "SELLERSVILLE",
"state": "PA",
"postal_code": "189600350",
"telephone_number": "215-723-2333",
"fax_number": "215-723-9112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1088 W BALTIMORE PIKE",
"address_2": "SUITE 2407",
"city": "MEDIA",
"state": "PA",
"postal_code": "19063",
"telephone_number": "610-565-1808",
"fax_number": "610-892-9535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABORDA",
"first_name": "OSCAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2010-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "PA",
"license": "MD016384E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "00000315032 06",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOEING BLUE SHIELD",
"identifier": "0000673779",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTHPLAN EAST",
"identifier": "0031422000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1334935",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "0030907",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0031422000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "0000161491",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON BLUE SHIELD",
"identifier": "0000673779",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLAIR MILL",
"identifier": "0000161491",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007274050003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "0031422000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.