Organization Active NPI

Eastern Pennsylvania Imaging Consultants, PC

  • Diagnostic Radiology Physician
  • Easton, PA
National Provider Identifier
1295805547
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
EASTERN PENNSYLVANIA IMAGING CONSULTANTS, PC
Practice address
250 S 21St St
Easton, PA 18042-3851
Phone
(610) 250-4592
Fax
(610) 923-8160
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Dr. Gregg David Schubach, M.D.
Title
Chairman, Radiology Department
Phone
(610) 250-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

250 S 21St St
Easton, PA 18042-3851

Mailing address

2430 Butler Street
Suite 114
Easton, PA 18042-5303
Phone (610) 250-4000

Other identifiers 1

IdentifierTypeStateIssuer
1018285300001OtherPAMEDICAID

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1295805547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 BUTLER STREET",
            "address_2": "SUITE 114",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180425303",
            "telephone_number": "610-250-4000",
            "fax_number": "610-923-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S 21ST ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423851",
            "telephone_number": "610-250-4592",
            "fax_number": "610-923-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN PENNSYLVANIA IMAGING CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "SCHUBACH",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CHAIRMAN, RADIOLOGY DEPARTMENT",
        "authorized_official_telephone_number": "610-250-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "1018285300001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.