Active NPI
Claysburg Medical Associates, Inc
- Family Medicine Physician
- Claysburg, PA
National Provider Identifier
1245279165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CLAYSBURG MEDICAL ASSOCIATES, INC
- Practice address
- 365 Ward Drive
Claysburg, PA 16625-9742 - Phone
- (814) 239-2211
- Fax
- (814) 239-8116
- NPI assigned
- Jun 6, 2006
- Last updated
- Feb 12, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donald William Bulger, M.D.
- Title
- President
- Phone
- (814) 239-2211
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
365 Ward Drive
Claysburg, PA 16625-9742
Mailing address
365 Ward Drive
PO Box 267
Claysburg, PA 16625-9742
Phone (814) 239-2211
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 076155 | Other | PA | HIGHMARK BLUE SHIELD |
| 1007787570006 | Medicaid | PA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Medicine Physician
- Claysburg, PA
- NPI 1497795058
-
- Family Medicine Physician
- Claysburg, PA
- NPI 1922037373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234396800000",
"number": "1245279165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 WARD DRIVE",
"address_2": "PO BOX 267",
"city": "CLAYSBURG",
"state": "PA",
"postal_code": "166259742",
"telephone_number": "814-239-2211",
"fax_number": "814-239-8116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 WARD DRIVE",
"city": "CLAYSBURG",
"state": "PA",
"postal_code": "166259742",
"telephone_number": "814-239-2211",
"fax_number": "814-239-8116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLAYSBURG MEDICAL ASSOCIATES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-06",
"last_updated": "2009-02-12",
"status": "A",
"authorized_official_last_name": "BULGER",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "814-239-2211",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "076155",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007787570006",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Claysburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.