Active NPI
Christina B Lubold, M.D.
- Pediatrics Physician
- Indiana, PA
National Provider Identifier
1679568398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD053910L
- Practice address
- 2255 Philadelphia St
Indiana, PA 15701-1595 - Phone
- (724) 463-0476
- Fax
- (724) 463-1196
- NPI assigned
- Sep 19, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD053910L | PA | Primary |
Addresses
Primary practice location
2255 Philadelphia St
Indiana, PA 15701-1595
Mailing address
2255 Philadelphia St
Indiana, PA 15701-1595
Phone (724) 463-0476
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 848902 | Other | PA | HIGHMARK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD053910L | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Indiana Pediatric Associates, PC | Pediatrics | Past | Accepting new patients |
| Indiana Regional Medical Center | Past | Accepting new patients | |
| Indiana Pediatric Associates, P C a | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Indiana, PA
- NPI 1740136308
-
- Rural Acute Care Hospital
- Indiana, PA
- NPI 1356334510
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617840000000",
"number": "1679568398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2255 PHILADELPHIA ST",
"city": "INDIANA",
"state": "PA",
"postal_code": "157011595",
"telephone_number": "724-463-0476",
"fax_number": "724-463-1196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2255 PHILADELPHIA ST",
"city": "INDIANA",
"state": "PA",
"postal_code": "157011595",
"telephone_number": "724-463-0476",
"fax_number": "724-463-1196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUBOLD",
"first_name": "CHRISTINA",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-19",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD053910L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "848902",
"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 Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.