Individual provider Active NPI

Andrew Timothy Catherine, M.D.

  • Emergency Medicine Physician
  • State College, PA
National Provider Identifier
1467834309
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD461581 Issued in PA
Practice address
1850 E Park Ave
State College, PA 16803
Phone
(814) 422-5049
NPI assigned
Jun 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD461581 PA Primary
Emergency Medicine Physician 207P00000X MT208563 PA

Addresses

Primary practice location

1850 E Park Ave
State College, PA 16803

Mailing address

1850 E Park Ave
State College, PA 16803-6706
Phone (814) 422-5049

Other practice location 1

230 McKee Pl
Suite 500
Pittsburgh, PA 15213-3903
Phone (412) 647-8284

Other identifiers 2

IdentifierTypeStateIssuer
MT208563OtherPAPENNSYLVANIA MEDICAL TRAINING LISCENSE
MD461581OtherPAPA BOARD OF MEDICINE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180524000130 PA Practitioner - Emergency Medicine 6406111392 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD461581PAMDEmergency Medicine Physician
MT208563PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centre Emergency Medical Associates, PC. Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
University of Pittsburgh Physicians CurrentSince Feb 25, 2018 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Fayette Physician Network Inc CurrentSince Feb 25, 2018 Accepting new patients
University of Pittsburgh Physicians Emergency Medicine CurrentSince Feb 25, 2018 Accepting new patients
Fayette Physician Network Inc CurrentSince Feb 25, 2018 Accepting new patients

Locations

1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1435363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1467834309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 E PARK AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036706",
            "telephone_number": "814-422-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 E PARK AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "16803",
            "telephone_number": "814-422-5049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 McKee Pl",
            "address_2": "Suite 500",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152133903",
            "country_code": "US",
            "telephone_number": "412-647-8284",
            "fax_number": "412-647-8225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CATHERINE",
        "first_name": "ANDREW",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-27",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD461581",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MT208563",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA MEDICAL TRAINING LISCENSE",
            "identifier": "MT208563",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BOARD OF MEDICINE",
            "identifier": "MD461581",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.