Active NPI
Pankaj G Mehta, M.D.
- Obstetrics & Gynecology Physician
- Williamsport, PA
National Provider Identifier
1447248570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD038224L
- Practice address
- 777 Rural Ave
Williamsport, PA 17701-3109 - Phone
- (570) 323-3671
- Fax
- (570) 321-0648
- NPI assigned
- Oct 12, 2005
- Last updated
- Oct 21, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD038224L | PA | Primary |
Addresses
Primary practice location
777 Rural Ave
Williamsport, PA 17701-3109
Mailing address
1201 Grampian Blvd
Suite 1K
Williamsport, PA 17701-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susquehanna Physician Services | Past | Accepting new patients | |
| Women's Health Care Associates | Obstetrics & Gynecology | Past | Accepting new patients |
| Susquehanna Physician Services | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Radiology Clinic/Center
- Mansfield, PA
- NPI 1073361564
-
dba Susquehanna Health Medical Group
- Family Medicine Physician
- South Williamsport, PA
- NPI 1780631226
-
- Obstetrics & Gynecology Physician
- Williamsport, PA
- NPI 1174589816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319155200000",
"number": "1447248570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 GRAMPIAN BLVD",
"address_2": "SUITE 1K",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177011900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 RURAL AVE",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177013109",
"telephone_number": "570-323-3671",
"fax_number": "570-321-0648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "PANKAJ",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-12",
"last_updated": "2011-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MD038224L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsport, PA
- Robert Joseph Meacham, LICENSED PSYCHOLOGIS
- Alicia Meadows
- Elise Kathryn Meckbach, LPC
- Medexpress Urgent Care, PC - Pennsylvania (MedExpress Urgent Care - Williamsport)
- Matthew James Meeker, DO
- Kelli K Meixel, PHRDH
- Yamileth Ortiz Melton, M.S.
- Jeffrey Lynn Mensinger, LPT
- Merakey Pennsylvania
- Merakey Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.