NPIMap

Organization Active NPI

Bruce M Lidston and Allen B Ettenger Partners

Doing business as Huntingdon Pediatric Associates

  • Clinical Medical Laboratory
  • Huntingdon, PA
National Provider Identifier
1477743409
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
010231 Issued in PA
Legal business name
BRUCE M LIDSTON AND ALLEN B ETTENGER PARTNERS
Doing business as
Huntingdon Pediatric Associates
Practice address
1227 Warm Springs Ave
Suite 301
Huntingdon, PA 16652-2300
Phone
(814) 643-0531
Fax
(814) 643-6637
NPI assigned
Jul 26, 2007
Last updated
Jul 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Bruce M Lidston, MDNPI 1407894173
Title
Partner
Phone
(814) 643-0531

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 010231 PA Primary

Addresses

Primary practice location

1227 Warm Springs Ave
Suite 301
Huntingdon, PA 16652-2300

Mailing address

1227 Warm Springs Ave
Suite 301
Huntingdon, PA 16652-2300
Phone (814) 643-0531

Other identifiers 1

IdentifierTypeStateIssuer
1007685540005MedicaidPA

Other names 1

  • Huntingdon Pediatric Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bruce M Lidston and Allen B Ettenger Partners2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1227 Warm Springs Ave
Ste 301
Huntingdon, PA 16652
Phone (814) 643-0531

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1477743409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 WARM SPRINGS AVE",
            "address_2": "SUITE 301",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166522300",
            "telephone_number": "814-643-0531",
            "fax_number": "814-643-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 WARM SPRINGS AVE",
            "address_2": "SUITE 301",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166522300",
            "telephone_number": "814-643-0531",
            "fax_number": "814-643-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE M LIDSTON AND ALLEN B ETTENGER PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "LIDSTON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "814-643-0531",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "010231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007685540005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huntingdon Pediatric Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntingdon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.