Active NPI
Northwest Hospitalist Physicians LLP
- Hospitalist Physician
- Seneca, PA
National Provider Identifier
1265727010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- NORTHWEST HOSPITALIST PHYSICIANS LLP
- Practice address
- 100 Fairfield Dr
Seneca, PA 16346-2130 - Phone
- (814) 677-1585
- Fax
- (814) 676-7805
- NPI assigned
- Jun 9, 2011
- 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. Derik K King, MD
- Title
- LLP Managing Partner
- Phone
- (866) 916-5259
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | |||
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
100 Fairfield Dr
Seneca, PA 16346-2130
Mailing address
75 Remit Dr # 1122
Chicago, IL 60675-1122
Phone (866) 916-5259
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1022741880001 | Medicaid | PA | |
| 2654404 | Other | PA | BCBS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318377600000",
"number": "1265727010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 REMIT DR # 1122",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606751122",
"telephone_number": "866-916-5259",
"fax_number": "231-922-4030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 FAIRFIELD DR",
"city": "SENECA",
"state": "PA",
"postal_code": "163462130",
"telephone_number": "814-677-1585",
"fax_number": "814-676-7805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST HOSPITALIST PHYSICIANS LLP",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-09",
"last_updated": "2011-10-12",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "DERIK",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "LLP MANAGING PARTNER",
"authorized_official_telephone_number": "866-916-5259",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1022741880001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "2654404",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seneca, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.