A & E Medical Associates PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

A & E MEDICAL ASSOCIATES PC

Practice address

415 Centre St
Freeland, PA 18224

Phone

(570) 636-2232

Fax

(570) 636-0903

NPI assigned

Jan 6, 2006

Last updated

Jul 13, 2007By 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

Adrian Secheresiu, MD

Title

Doctor

Phone

(570) 636-2232

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1538147889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 CENTRE ST",
            "city": "FREELAND",
            "state": "PA",
            "postal_code": "18224",
            "telephone_number": "570-636-5431",
            "fax_number": "570-636-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 CENTRE ST",
            "city": "FREELAND",
            "state": "PA",
            "postal_code": "18224",
            "telephone_number": "570-636-2232",
            "fax_number": "570-636-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A & E MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-06",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "SECHERESIU",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "570-636-2232",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0000331656",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "802216",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017758640002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Affordable Angels Home Health Aides, LLC
• Aaron Banyas, PHARM D
• Tanya Bell
• Robert George Bittenbender Jr., D.C.
• Mark R. Boyle, PTA

• Internal Medicine Physician in Freeland, PA
• Providers in Freeland, 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 Jul 13, 2007; 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.