Active NPI
The Westmoreland Digestive Disorders Group LLC
Doing business as Latrobe Gastroenterology Associates
- Gastroenterology Physician
- Greensburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- THE WESTMORELAND DIGESTIVE DISORDERS GROUP LLC
- Doing business as
- Latrobe Gastroenterology Associates
- Practice address
- 443 Frye Farm Road
Suite 200
Greensburg, PA 15601 - Phone
- (724) 532-2801
- Fax
- (724) 532-2757
- NPI assigned
- Nov 15, 2006
- Last updated
- May 20, 2013
- 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
- William J Provance, D.O
- Title
- Sr. Partner
- Phone
- (724) 532-2801
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | PA | Primary |
Addresses
Primary practice location
443 Frye Farm Road
Suite 200
Greensburg, PA 15601
Mailing address
443 Frye Farm Road
Suite 200
Greensburg, PA 15601
Phone (724) 532-2801
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015669440003 | Medicaid | PA |
Other names 1
- Latrobe Gastroenterology Associates
National Provider Directory
National Provider DirectoryLocations
443 Frye Farm Rd
#8015
Greensburg, PA 15601
443 Frye Farm Rd
Ste 200
Greensburg, PA 15601
Phone (724) 532-2801
5840 State Route 981
Ste 102
Latrobe, PA 15650
Phone (724) 532-2801
Practitioners & affiliated clinicians
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.
-
- Gastroenterology Physician
- Latrobe, PA
- NPI 1518951854
-
- Medical Physician Assistant
- Latrobe, PA
- NPI 1194719260
-
- Gastroenterology Physician
- Sandusky, OH
- NPI 1992763155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369008000000",
"number": "1851463822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "443 FRYE FARM ROAD",
"address_2": "SUITE 200",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "15601",
"telephone_number": "724-532-2801",
"fax_number": "724-532-2757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "443 FRYE FARM ROAD",
"address_2": "SUITE 200",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "15601",
"telephone_number": "724-532-2801",
"fax_number": "724-532-2757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE WESTMORELAND DIGESTIVE DISORDERS GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2013-05-20",
"status": "A",
"authorized_official_last_name": "PROVANCE",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "SR. PARTNER",
"authorized_official_telephone_number": "724-532-2801",
"authorized_official_credential": "D.O"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015669440003",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Latrobe Gastroenterology Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.