Pediatric Gastroenterology Associates

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

MD-423954 Issued in PA

Legal business name

PEDIATRIC GASTROENTEROLOGY ASSOCIATES

Practice address

11 Sprint Dr Ste B
Carlisle, PA 17015-7789

Phone

(717) 422-5546

Fax

(171) 422-5589

NPI assigned

May 11, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Muhammad Azim Qureshi, MD

Title

Medical Director

Phone

(717) 220-4221

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1750609129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SPRINT DR STE B",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170157789",
            "telephone_number": "717-422-5546",
            "fax_number": "171-422-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SPRINT DR STE B",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170157789",
            "telephone_number": "717-422-5546",
            "fax_number": "171-422-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC GASTROENTEROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "AZIM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "717-220-4221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "PA",
            "license": "MD-423954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010342670001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatrix Medical Group of Pennsylvania, P.C.
• Deborah Marie Peifer, BSED
• Penn State Health Medical Group, LLC
• Penns Wood Physical Therapy Lim
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• Pediatric Gastroenterology Physician in Carlisle, PA
• Providers in Carlisle, PA by specialty
• Pediatric Gastroenterology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.