Michael W Consevage, M.D.

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

MD042293L Issued in PA

Practice address

1000 N Front St
Pediatric Cardiology
Wormleysburg, PA 17043-1034

Phone

(717) 761-0200

Fax

(717) 761-0641

NPI assigned

Aug 2, 2005

Last updated

Sep 24, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cardiology Diagnostic Associates, LLC

  • Cardiovascular Disease Physician
  • Middletown, PA
  • NPI 1750345948
  NPD (past)
• Cumberland Pathology Associates, LLC

  • Anatomic Pathology Physician
  • Carlisle, PA
  • NPI 1386695666
  NPD (past)
• Moffitt Heart and Vascular Group Inc.

  • Cardiovascular Disease Physician
  • Wormleysburg, PA
  • NPI 1083616437
  NPD (past)

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1780685537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST",
            "address_2": "SUITE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N FRONT ST",
            "address_2": "PEDIATRIC CARDIOLOGY",
            "city": "WORMLEYSBURG",
            "state": "PA",
            "postal_code": "170431034",
            "telephone_number": "717-761-0200",
            "fax_number": "717-761-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSEVAGE",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "PA",
            "license": "MD042293L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001471500",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridget Fanus Charles, DNP, CRNP
• Kelly Chase
• Amanda Chrisman, RBT
• Clear Headed Therapy
• Kaylee Colon
• Bianca Correll
• Sarah N Corsello
• Brandi Coy, RBT
• Gina Curtis
• Amanda Daniel

• Pediatric Cardiology Physician in Wormleysburg, PA
• Providers in Wormleysburg, PA by specialty
• Pediatric Cardiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.