Active NPI
Eastern Pennsylvania Endoscopy Center, Inc.
- Certified Registered Nurse Anesthetist
- Allentown, PA
National Provider Identifier
1770699530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- EASTERN PENNSYLVANIA ENDOSCOPY CENTER, INC.
- Practice address
- 1501 N Cedar Crest Blvd
Suite 100
Allentown, PA 18104-2309 - Phone
- (610) 289-2172
- Fax
- (610) 289-2542
- NPI assigned
- Aug 22, 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
- Ms. Eileen Connelly
- Title
- Patient Accounts Manager
- Phone
- (610) 289-2172
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
1501 N Cedar Crest Blvd
Suite 100
Allentown, PA 18104-2309
Mailing address
1501 N Cedar Crest Blvd
Suite 100
Allentown, PA 18104-2309
Phone (610) 289-2172
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2065391000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 1373542 | Other | PA | HIGHMARK PA BLUE SHIELD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Allentown, PA
- NPI 1285637488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571702400000",
"number": "1770699530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 N CEDAR CREST BLVD",
"address_2": "SUITE 100",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181042309",
"telephone_number": "610-289-2172",
"fax_number": "610-289-2542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 N CEDAR CREST BLVD",
"address_2": "SUITE 100",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181042309",
"telephone_number": "610-289-2172",
"fax_number": "610-289-2542"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTERN PENNSYLVANIA ENDOSCOPY CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-22",
"last_updated": "2019-10-22",
"status": "A",
"authorized_official_last_name": "CONNELLY",
"authorized_official_first_name": "EILEEN",
"authorized_official_title_or_position": "PATIENT ACCOUNTS MANAGER",
"authorized_official_telephone_number": "610-289-2172",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "2065391000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK PA BLUE SHIELD",
"identifier": "1373542",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
- Earvanna
- Tommie Easley, M.D.
- Easter Seals Eastern Pennsylvania
- Eastern PA Nephrology Assoc P.C.
- Eastern Pennsylvania Endoscopy Center, Inc.
- Eastern Pennsylvania Endoscopy Center, LLC
- Eastern Pennsylvania Endoscopy Center, LLC
- Eastern Pennsylvania Gastroenterology & Liver Specialists P C
- Eastern Salisbury Fire Ambulance & Rescue Company
- Laura Eastman, MAC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.