Organization Active NPI

Susan J Probst, MD & Associates

  • Obstetrics & Gynecology Physician
  • West Reading, PA
National Provider Identifier
1396871497
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD038524L Issued in PA
Legal business name
SUSAN J PROBST, MD & ASSOCIATES
Practice address
740 Penn Ave
West Reading, PA 19611-1006
Phone
(610) 376-3700
Fax
(610) 685-1567
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Authorized official

Name
Susan Probst, MD
Title
Owner
Phone
(610) 376-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X MD038524L PA Primary

Addresses

Primary practice location

740 Penn Ave
West Reading, PA 19611-1006

Mailing address

740 Penn Ave
West Reading, PA 19611-1006
Phone (610) 376-3700

Other identifiers 1

IdentifierTypeStateIssuer
1538197348OtherPANPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1396871497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 PENN AVE",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111006",
            "telephone_number": "610-376-3700",
            "fax_number": "610-685-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 PENN AVE",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111006",
            "telephone_number": "610-376-3700",
            "fax_number": "610-685-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN J PROBST, MD & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "PROBST",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-376-3700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD038524L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1538197348",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Reading, PA

Sources for this page

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

Verify at the official NPI Registry.