NPIMap

Organization Active NPI

Southwestern Gastrointestinal Specialists PC

  • Gastroenterology Physician
  • Uniontown, PA
National Provider Identifier
1235208950
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
SOUTHWESTERN GASTROINTESTINAL SPECIALISTS PC
Practice address
300 Spring Creek Lane
Uniontown, PA 15401-9069
Phone
(724) 437-7677
Fax
(724) 437-3215
NPI assigned
Nov 7, 2006
Last updated
Feb 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Authorized official

Name
Frederick W Ruthardt, MDNPI 1679671093
Title
President
Phone
(724) 437-7677

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 PA Primary

Addresses

Primary practice location

300 Spring Creek Lane
Uniontown, PA 15401-9069

Mailing address

300 Spring Creek Lane
Uniontown, PA 15401-9069
Phone (724) 437-7677

Other identifiers 2

IdentifierTypeStateIssuer
1428975OtherPAUMWA
M8177OtherPARR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080617000695 PA Part B Supplier - Clinic/Group Practice 5395645683 Receives reassigned benefits from 26 practitioners
Practice locations: Connellsville, PA; Uniontown, PA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1235208950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SPRING CREEK LANE",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154019069",
            "telephone_number": "724-437-7677",
            "fax_number": "724-437-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SPRING CREEK LANE",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154019069",
            "telephone_number": "724-437-7677",
            "fax_number": "724-437-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN GASTROINTESTINAL SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "RUTHARDT",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-437-7677",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1428975",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "M8177",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.