Cambria Gastroenterology, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD037398L Issued in PA

Legal business name

CAMBRIA GASTROENTEROLOGY, INC.

Practice address

970 Franklin St
Johnstown, PA 15905-4107

Phone

(814) 535-1500

Fax

(814) 536-5648

NPI assigned

Mar 30, 2007

Last updated

Mar 19, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hira L. Koul, M.D.NPI 1720096118

Title

Owner

Phone

(814) 525-1500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hira Lal Koul, MD

  • Gastroenterology Physician
  • Johnstown, PA
  • NPI 1720096118
  NPD (past) Authorized official

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1467572826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054107",
            "telephone_number": "814-535-1500",
            "fax_number": "814-536-5648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054107",
            "telephone_number": "814-535-1500",
            "fax_number": "814-536-5648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIA GASTROENTEROLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "KOUL",
        "authorized_official_first_name": "HIRA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-525-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD037398L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007478920001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cambria Cnty MH Mr Da
• Cambria County BH/Id/Ei
• Cambria County Crisis
• Cambria County Drug and Alcohol Program
• Cambria County MHMR D&a Program
• Cambria Somerset Counseling, LLC
• Cambria Somerset Pediatrics
• Cambria Somerset Radiology & Nuclear Medicine Group, Inc.
• Camco Physical and Occupational Therapy, LLC
• Michele L Campbell, RD LDN

• Internal Medicine Physician in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.