Id Care and Travel Health of Northwest PA, P.C.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

MD420301 Issued in PA

Legal business name

ID CARE AND TRAVEL HEALTH OF NORTHWEST PA, P.C.

Practice address

764 Kennedy St
Suite 303
Meadville, PA 16335-2209

Phone

(814) 373-2195

Fax

(914) 373-2197

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Carol Felisa Encarnacion, M.D., M.P.H.

Title

Physician-Owner

Phone

(814) 373-2195

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609990282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 KENNEDY ST",
            "address_2": "SUITE 303",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352209",
            "telephone_number": "814-373-2195",
            "fax_number": "914-373-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 KENNEDY ST",
            "address_2": "SUITE 303",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352209",
            "telephone_number": "814-373-2195",
            "fax_number": "914-373-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ID CARE AND TRAVEL HEALTH OF NORTHWEST PA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ENCARNACION",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "FELISA",
        "authorized_official_title_or_position": "PHYSICIAN-OWNER",
        "authorized_official_telephone_number": "814-373-2195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., M.P.H."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD420301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP NUMBER",
            "identifier": "DA1188",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PROVIDER NUMBER",
            "identifier": "1427232",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "139871",
            "identifier": "MEDPLUS",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "319230",
            "identifier": "UPMC",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Infectious Disease Physician in Meadville, PA
• Providers in Meadville, PA by specialty
• Infectious Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.