Organization Active NPI

The Westmoreland Digestive Disorders Group LLC

Doing business as Latrobe Gastroenterology Associates

  • Gastroenterology Physician
  • Greensburg, PA
National Provider Identifier
1851463822
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0015669440003MedicaidPA

Other names 1

  • Latrobe Gastroenterology Associates Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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"
        }
    ]
}

Other providers in Greensburg, PA

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.

Verify at the official NPI Registry.