Active NPI
Gastrointestinal Consultants Inc
- Specialist
- Johnstown, PA
National Provider Identifier
1720170319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- GASTROINTESTINAL CONSULTANTS INC
- Practice address
- 350 Southmont Blvd
Johnstown, PA 15905-2818 - Phone
- (814) 535-2511
- Fax
- (814) 535-8473
- NPI assigned
- Sep 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard C Leib Jr, M.D.
- Title
- President
- Phone
- (814) 535-2511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
350 Southmont Blvd
Johnstown, PA 15905-2818
Mailing address
350 Southmont Blvd
Johnstown, PA 15905-2818
Phone (814) 535-2511
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006437800002 | Medicaid | PA | |
| 091720 | Other | PA | BLUE SHIELD |
| MEDPLUS | Other | PA | MEDPLUS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Johnstown, PA
- NPI 1700854221
-
- Gastroenterology Physician
- Lebanon, PA
- NPI 1669440186
-
- Gastroenterology Physician
- Windber, PA
- NPI 1417925991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213142400000",
"number": "1720170319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 SOUTHMONT BLVD",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159052818",
"telephone_number": "814-535-2511",
"fax_number": "814-535-8473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 SOUTHMONT BLVD",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159052818",
"telephone_number": "814-535-2511",
"fax_number": "814-535-8473"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTROINTESTINAL CONSULTANTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-29",
"last_updated": "2008-06-11",
"status": "A",
"authorized_official_last_name": "LEIB JR",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "814-535-2511",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006437800002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "091720",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDPLUS",
"identifier": "MEDPLUS",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.