Active NPI
Mitra Arthritis & Osteoporosis Center PC
- Rheumatology Physician
- Lyndora, PA
National Provider Identifier
1265524334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- Legal business name
- MITRA ARTHRITIS & OSTEOPOROSIS CENTER PC
- Practice address
- 5 Lyn Mar Plaza
Lyndora, PA 16045-1348 - Phone
- (724) 282-5244
- Fax
- (724) 282-5246
- NPI assigned
- Sep 28, 2006
- Last updated
- Aug 17, 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
- Devashis Mitra, MD
- Title
- Owner
- Phone
- (724) 282-5244
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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | Primary |
Addresses
Primary practice location
5 Lyn Mar Plaza
Lyndora, PA 16045-1348
Mailing address
PO Box 487
Lyndora, PA 16045-0487
Phone (724) 282-5244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019488860004 | 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.
-
- Rheumatology Physician
- Lyndora, PA
- NPI 1326148289
-
- Physician Assistant
- Pittsburgh, PA
- NPI 1619069937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1250467200000",
"number": "1265524334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 487",
"city": "LYNDORA",
"state": "PA",
"postal_code": "160450487",
"telephone_number": "724-282-5244",
"fax_number": "724-282-5246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 LYN MAR PLAZA",
"city": "LYNDORA",
"state": "PA",
"postal_code": "160451348",
"telephone_number": "724-282-5244",
"fax_number": "724-282-5246"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MITRA ARTHRITIS & OSTEOPOROSIS CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-28",
"last_updated": "2009-08-17",
"status": "A",
"authorized_official_last_name": "MITRA",
"authorized_official_first_name": "DEVASHIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "724-282-5244",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019488860004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lyndora, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.