Organization Active NPI

Pennsylvania Toxicologists PC

  • Medical Toxicology (Preventive Medicine) Physician
  • Harrisburg, PA
National Provider Identifier
1346287489
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Toxicology (Preventive Medicine) PhysicianTaxonomy code 2083T0002X
License
MD036157L Issued in PA
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

Updated by the provider on Jul 23, 2008

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)CodeLicenseStatePrimary
Medical Toxicology (Preventive Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0006642430005MedicaidPA
1019058810001MedicaidPA
1016451290001MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "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

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.

Verify at the official NPI Registry.