Jay E Endres MDPC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD039470L Issued in PA

Legal business name

JAY E ENDRES MDPC

Practice address

12 Elm St
Warren, PA 16365-2808

Phone

(814) 723-3520

Fax

(814) 726-2988

NPI assigned

Aug 6, 2007

Last updated

Aug 6, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Nancy J Endres

Title

Corporate Treasurer

Phone

(814) 723-3520

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 3

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.

• Jay E Endres, MD

  • Family Medicine Physician
  • Warren, PA
  • NPI 1073581948
  Medicare reassignment NPD
• Jill M Gorton, CRNP

  • Nurse Practitioner
  • Warren, PA
  • NPI 1255531489
  Medicare reassignment NPD
• Dan Henry Gottwald, MD

  • Orthopaedic Surgery Physician
  • Warren, PA
  • NPI 1104889732
  NPD (past)

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1780875757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ELM ST",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652808",
            "telephone_number": "814-723-3520",
            "fax_number": "814-726-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ELM ST",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652808",
            "telephone_number": "814-723-3520",
            "fax_number": "814-726-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY E ENDRES MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "ENDRES",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CORPORATE TREASURER",
        "authorized_official_telephone_number": "814-723-3520",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD039470L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Kay Huntoon, COTA/L
• Paul Franklin Ignatius, M.D.
• Lois V Inman, C.R.N.A.
• Sarah Jacobs
• James S Spangler, O.D.
• Jeffrey F. Morgan, LLC
• Jeffrey F. Morgan, MD LLC
• Samantha Jenkins, O.D.
• Sarah Jepson, PA
• Christopher John, PA-C

• Family Medicine Physician in Warren, PA
• Providers in Warren, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.

Verify at the official NPI Registry.