Organization Active NPI

Atwood & Clark Consultants

Doing business as Midway Medical Clinic

  • Internal Medicine Physician
  • New Castle, PA
National Provider Identifier
1316039928
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ATWOOD & CLARK CONSULTANTS
Doing business as
Midway Medical Clinic
Practice address
3548 Ellwood Road
New Castle, PA 16101
Phone
(724) 658-9477
Fax
(724) 658-9476
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Authorized official

Name
Ata Ulhaq, MD
Title
Medical Director
Phone
(724) 658-9477

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Occupational Medicine Clinic/Center 261QX0100X

Addresses

Primary practice location

3548 Ellwood Road
New Castle, PA 16101

Mailing address

3548 Ellwood Road
New Castle, PA 16101
Phone (724) 658-9477

Other identifiers 5

IdentifierTypeStateIssuer
0011350060008MedicaidPA
1011188300002MedicaidPA
1849960019MedicaidPA
0012149600019MedicaidPA
1011188300001MedicaidPA

Other names 1

  • Midway Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

3548 Ellwood Rd
New Castle, PA 16101
Phone (412) 719-5541

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1316039928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3548 ELLWOOD ROAD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "16101",
            "telephone_number": "724-658-9477",
            "fax_number": "724-658-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3548 ELLWOOD ROAD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "16101",
            "telephone_number": "724-658-9477",
            "fax_number": "724-658-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATWOOD & CLARK CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "ULHAQ",
        "authorized_official_first_name": "ATA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "724-658-9477",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011350060008",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011188300002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1849960019",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012149600019",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011188300001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midway Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Castle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.