Pocono Cardiology Associates, PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

POCONO CARDIOLOGY ASSOCIATES, PC

Practice address

200 Plaza CT Ste C
East Stroudsburg, PA 18301-8259

Phone

(570) 424-9952

NPI assigned

Feb 1, 2007

Last updated

Apr 11, 2008By 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

Gordon W Fried, DONPI 1134126840

Title

Owner

Phone

(570) 424-9952

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Gordon W Fried, D.O.

  • Interventional Cardiology Physician
  • East Stroudsburg, PA
  • NPI 1134126840
  Medicare reassignment NPD Authorized official
• Susan Elser, CRNP

  • Family Nurse Practitioner
  • East Stroudsburg, PA
  • NPI 1851477087
  Medicare reassignment NPD
• Eve L Gillespie, MD

  • Cardiovascular Disease Physician
  • Kalispell, MT
  • NPI 1922038520
  NPD (past)
• Melissa Holden, ACNP-BC

  • Acute Care Nurse Practitioner
  • Southport, NC
  • NPI 1750612974
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1639216088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PLAZA CT STE C",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018259",
            "telephone_number": "570-424-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PLAZA CT STE C",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018259",
            "telephone_number": "570-424-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCONO CARDIOLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "FRIED",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-424-9952",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "745366",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cindy Pilcher, LPC
• Pocono Adult & Pediatric Medical Group LLC
• Pocono Advanced Medical Clinic PC
• Pocono Area Ambulance Services Limited
• Pocono Cab Company LLC
• Pocono Community Pharmacy II Inc
• Pocono Ear Nose Throat & Facial Plastic Surgery, Associates
• Pocono Ear, Nose, Throat & Facial Plastic Surgery Assoc, P.C.
• Pocono Emergency Physicians, P.C.
• Pocono Eye Associates Inc

• Cardiovascular Disease Physician in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Cardiovascular Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.