NPIMap

Organization Active NPI

Punxsutawney Medical Services Urology

  • Urology Physician
  • Punxsutawney, PA
National Provider Identifier
1508016155
Registry record updated Sep 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD431940 Issued in PA
Legal business name
PUNXSUTAWNEY MEDICAL SERVICES UROLOGY
Practice address
81 Hillcrest Dr
Suite 2200
Punxsutawney, PA 15767-2605
Phone
(814) 938-1451
Fax
(814) 938-1453
NPI assigned
Sep 19, 2008
Organization subpart
Yes
Parent organization
PUNXSUTAWNEY MEDICAL SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 19, 2008

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

Authorized official

Name
Joanna M. Uberti
Title
Practice Administrator
Phone
(814) 938-1451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X MD431940 PA Primary

Addresses

Primary practice location

81 Hillcrest Dr
Suite 2200
Punxsutawney, PA 15767-2605

Mailing address

81 Hillcrest Dr
Punxsutawney, PA 15767-2605
Phone (814) 938-1451

National Provider Directory

National Provider Directory
Tax ID family
Punxsutawney Medical Services - Anesthesia9 organizations share this tax ID, including this one
Part of
Punxsutawney Medical Services - Anesthesia

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1508016155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 HILLCREST DR",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672605",
            "telephone_number": "814-938-1451",
            "fax_number": "814-938-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 HILLCREST DR",
            "address_2": "SUITE 2200",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672605",
            "telephone_number": "814-938-1451",
            "fax_number": "814-938-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUNXSUTAWNEY MEDICAL SERVICES UROLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PUNXSUTAWNEY MEDICAL SERVICES",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "UBERTI",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "814-938-1451"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "PA",
            "license": "MD431940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punxsutawney, PA

Sources for this page

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