Crawford County Sub-Specialists Group

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

CRAWFORD COUNTY SUB-SPECIALISTS GROUP

Practice address

765 Liberty St., Suite 204
Meadville Women's Care
Meadville, PA 16335

Phone

(814) 333-5697

NPI assigned

Nov 12, 2008

Last updated

Dec 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David A Poland

Title

Chief Financial Officer

Phone

(814) 333-5031

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228435200000",
    "number": "1255585691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 LIBERTY ST., SUITE 204",
            "address_2": "MEADVILLE WOMEN'S CARE",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "16335",
            "telephone_number": "814-333-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 LIBERTY ST., SUITE 204",
            "address_2": "MEADVILLE WOMEN'S CARE",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "16335",
            "telephone_number": "814-333-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAWFORD COUNTY SUB-SPECIALISTS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-12",
        "last_updated": "2008-12-05",
        "status": "A",
        "authorized_official_last_name": "POLAND",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "814-333-5031"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crawford County Human Services
• Crawford County Human Services
• Crawford County Human Services
• Crawford County Mental Health Awareness Program, Inc. (Chaps)
• Crawford County Sub-Specialists Group
• Crawford County Sub-Specialists Group
• Crawford County Sub-Specialists Group (Meadville ExpressCare)
• Crawford County Sub-Specialists Group
• Crawford Eye Associates Inc
• Crawford Eye Associates, Inc.

• Obstetrics & Gynecology Physician in Meadville, PA
• Providers in Meadville, PA by specialty
• Obstetrics & Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; 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.