Active NPI
Joseph E Ambrose DO
- Internal Medicine Physician
- Indiana, PA
National Provider Identifier
1568417186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 05004831L
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph Edward Ambrose, DO
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AM462289 | Other | PA | PA BLUE SHIELD |
| 0009281810005 | Medicaid | PA |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- 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.
-
- Internal Medicine Physician
- Indiana, PA
- NPI 1467451476
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.