NPIMap

Organization Active NPI

Informed Care Solutions, Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Cranberry TWP, PA
National Provider Identifier
1619189552
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD051075L Issued in PA
Legal business name
INFORMED CARE SOLUTIONS, INC
Practice address
507 Grandshire Dr
Cranberry TWP, PA 16066-6929
Phone
(724) 935-3728
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cynthia Thomas
Title
VP Clinical Services
Phone
(434) 823-4222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X MD051075L PA Primary

Addresses

Primary practice location

507 Grandshire Dr
Cranberry TWP, PA 16066-6929

Mailing address

PO Box 6250
Charlottesville, VA 22906-6250

Other identifiers 1

IdentifierTypeStateIssuer
1750809OtherPABCBS GROUP NUMBER

Other names 1

  • Informed Care of PA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Informed Care Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

140 Church Rd
Fl 2
Wexford, PA 15090
Phone (724) 935-3728

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619189552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6250",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229066250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 GRANDSHIRE DR",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666929",
            "telephone_number": "724-935-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFORMED CARE SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "VP CLINICAL SERVICES",
        "authorized_official_telephone_number": "434-823-4222"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD051075L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "1750809",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Informed Care of PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cranberry TWP, PA

Sources for this page

  • 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.