Charles Gottlieb, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD028896E Issued in PA

Practice address

1200 Old York Rd
Abington, PA 19001-3720

Phone

(215) 481-2000

Fax

(215) 376-1705

NPI assigned

Oct 24, 2005

Last updated

Jul 20, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CIEDAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Abington Medical Specialists Association

  dba AMS Cardiology

  • Cardiovascular Disease Physician
  • Horsham, PA
  • NPI 1225084528
  Medicare reassignment NPD
• Abington Medical Specialists Association

  • Cardiac Rehabilitation Clinic/Center
  • Horsham, PA
  • NPI 1184408015
  NPD
• Pennsylvania Heart and Vascular Group, P.C.

  • Cardiovascular Disease Physician
  • Jenkintown, PA
  • NPI 1578515748
  NPD (past)

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184889600000",
    "number": "1710977533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 OREGON PIKE",
            "address_2": "SUITE 101",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014890",
            "telephone_number": "717-293-3223",
            "fax_number": "717-390-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 OLD YORK RD",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013720",
            "telephone_number": "215-481-2000",
            "fax_number": "215-376-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTLIEB",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2007-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD028896E",
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "PA",
            "license": "MD028896E",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A Goodman, M.D.
• Nicholas Reyes Gopez, M.D.
• Michelle Gorbos-Spina, D.O.
• Samantha Maria Gorrell
• Denise Beth Gotsdiner, MD
• Julia Graf
• Donna Graham, CRNP
• Jade Rickia Green
• Marianne Greenberg, CRNP
• Greenbriar OBGYN PC

• Cardiovascular Disease Physician in Abington, PA
• Providers in Abington, 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 Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.