Organization Active NPI

Joseph E Ambrose DO

  • Internal Medicine Physician
  • Indiana, PA
National Provider Identifier
1568417186
Registry record updated Oct 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
05004831L Issued in PA
Legal business name
JOSEPH E AMBROSE DO
Practice address
875 Hospital Road
Indiana, PA 15701-3662
Phone
(724) 463-9700
Fax
(724) 463-9702
NPI assigned
May 23, 2006
Last updated
Oct 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2017

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

Authorized official

Name
Mr. Joseph Edward Ambrose, DONPI 1467451476
Title
Owner/Physician
Phone
(724) 349-9430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 05004831L PA Primary

Addresses

Primary practice location

875 Hospital Road
Indiana, PA 15701-3662

Mailing address

100 Christy Park Dr
Indiana, PA 15701-1584
Phone (724) 349-9430

Other identifiers 2

IdentifierTypeStateIssuer
AM462289OtherPAPA BLUE SHIELD
0009281810005MedicaidPA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3258/brand/1/csg/1/fhir/r4

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": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508716800000",
    "number": "1568417186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CHRISTY PARK DR",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157011584",
            "telephone_number": "724-349-9430",
            "fax_number": "724-349-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 HOSPITAL ROAD",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013662",
            "telephone_number": "724-463-9700",
            "fax_number": "724-463-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH E AMBROSE DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2017-10-23",
        "status": "A",
        "authorized_official_last_name": "AMBROSE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "724-349-9430",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "05004831L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "AM462289",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009281810005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; 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.