Active NPI
Pennsylvania Toxicologists PC
- Medical Toxicology (Preventive Medicine) Physician
- Harrisburg, PA
National Provider Identifier
1346287489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Toxicology (Preventive Medicine) Physician
- License
- MD036157L
- Legal business name
- PENNSYLVANIA TOXICOLOGISTS PC
- Practice address
- 111 S Front St
Harrisburg, PA 17101 - Phone
- (717) 782-5185
- Fax
- (717) 782-5188
- NPI assigned
- May 31, 2006
- 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
- Joseph Ward Donovan, MD
- Title
- President
- Phone
- (717) 782-5185
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Toxicology (Preventive Medicine) Physician | 2083T0002X | MD036157L | PA | Primary |
Addresses
Primary practice location
111 S Front St
Harrisburg, PA 17101
Mailing address
PO Box 517
Hazleton, PA 18201-0517
Phone (570) 450-6200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006642430005 | Medicaid | PA | |
| 1019058810001 | Medicaid | PA | |
| 1016451290001 | 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.
-
- Internal Medicine Physician
- Harrisburg, PA
- NPI 1366407165
-
- Emergency Medicine Physician
- Skowhegan, ME
- NPI 1639196264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216771200000",
"number": "1346287489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 517",
"city": "HAZLETON",
"state": "PA",
"postal_code": "182010517",
"telephone_number": "570-450-6200",
"fax_number": "570-450-6207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S FRONT ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "17101",
"telephone_number": "717-782-5185",
"fax_number": "717-782-5188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PENNSYLVANIA TOXICOLOGISTS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-31",
"last_updated": "2008-07-23",
"status": "A",
"authorized_official_last_name": "DONOVAN",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "WARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "717-782-5185",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2083T0002X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Preventive Medicine, Medical Toxicology",
"state": "PA",
"license": "MD036157L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006642430005",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1019058810001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1016451290001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
- Pennsylvania Psychiatric Institute
- Pennsylvania Psychiatric Institute
- Pennsylvania Psychiatric Institute - Outpatient Services
- Pennsylvania Psychiatric Medical Services
- Pennsylvania Surgical Providers PC
- Jaclyn Annette Penson, PA
- Jill Pentangelo, CRNP
- Emily A Peoples, MD
- James F Peoples III, MD
- Walter C Peppelman, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.