Active NPI
Ipg Oral Surgery LLP
- Oral & Maxillofacial Surgery (D.M.D.)
- Indiana, PA
National Provider Identifier
1730906454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- Legal business name
- IPG ORAL SURGERY LLP
- Practice address
- 841 Hospital Rd Ste 3300
Indiana, PA 15701-3620 - Phone
- (888) 452-4762
- NPI assigned
- Sep 24, 2024
- 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
- April L Miller
- Title
- Executive Director of Revenue Cycle
- Phone
- (724) 357-7009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | Primary |
Addresses
Primary practice location
841 Hospital Rd Ste 3300
Indiana, PA 15701-3620
Mailing address
640 Kolter Dr
Indiana, PA 15701-3570
Phone (724) 357-7333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
841 Hospital Rd
Ste 3300
Indiana, PA 15701
Phone (724) 357-7490
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728345600000",
"number": "1730906454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 KOLTER DR",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013570",
"telephone_number": "724-357-7333",
"fax_number": "724-357-7279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "841 HOSPITAL RD STE 3300",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013620",
"telephone_number": "888-452-4762"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IPG ORAL SURGERY LLP",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-24",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "APRIL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF REVENUE CYCLE",
"authorized_official_telephone_number": "724-357-7009"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Oral & Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Irmc Urgicare at Indiana
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.