Active NPI
James R Powell Jr., MD
- Pediatrics Physician
- State College, PA
National Provider Identifier
1730136722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD054696L
- Practice address
- 1800 E Park Ave
State College, PA 16803 - Phone
- (814) 231-7000
- NPI assigned
- May 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | MD054696L | PA | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | MD054696L | PA | |
| Pediatrics Physician | 208000000X | MD054696L | PA | Primary |
Addresses
Primary practice location
1800 E Park Ave
State College, PA 16803
Mailing address
3901 S Atherton St
Ste 5
State College, PA 16801-8324
Phone (814) 466-7921
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Practice Associates,Inc | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- james.powell@cancercarepartnership.ikm.direct-ci.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622505600000",
"number": "1730136722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 S ATHERTON ST",
"address_2": "STE 5",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168018324",
"telephone_number": "814-466-7921",
"fax_number": "814-466-6570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 E PARK AVE",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "16803",
"telephone_number": "814-231-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "JAMES",
"middle_name": "R",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2021-06-01",
"certification_date": "2021-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "MD054696L",
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "PA",
"license": "MD054696L",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD054696L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.