Organization Active NPI

Schuylkill Cardiology Consultants, P.C.

  • Cardiovascular Disease Physician
  • Tamaqua, PA
National Provider Identifier
1841351046
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
SCHUYLKILL CARDIOLOGY CONSULTANTS, P.C.
Practice address
17 West Broad Street
Tamaqua, PA 18252
Phone
(570) 668-5650
Fax
(570) 668-6078
NPI assigned
Dec 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Todd Richard Banning, D.O.
Title
President
Phone
(570) 668-5650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

17 West Broad Street
Tamaqua, PA 18252

Mailing address

17 West Broad Street
Tamaqua, PA 18252
Phone (570) 668-5650

Other identifiers 1

IdentifierTypeStateIssuer
0018106310004MedicaidPA

National Provider Directory

National Provider Directory

Locations

17 W Broad St
Tamaqua, PA 18252
Phone (570) 668-0343

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841351046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WEST BROAD STREET",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "18252",
            "telephone_number": "570-668-5650",
            "fax_number": "570-668-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WEST BROAD STREET",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "18252",
            "telephone_number": "570-668-5650",
            "fax_number": "570-668-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHUYLKILL CARDIOLOGY CONSULTANTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BANNING",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-668-5650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018106310004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamaqua, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.