Centre Medical and Surgical Associates, P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD019154E Issued in PA

Legal business name

CENTRE MEDICAL AND SURGICAL ASSOCIATES, P.C.

Practice address

141 Medical Park LN
Bellefonte, PA 16823-9112

Phone

(814) 355-3626

Fax

(814) 355-8479

NPI assigned

May 1, 2006

Organization subpart

No

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

Authorized official

Name

John McQueary

Title

Coo/Administrative Director

Phone

(814) 234-4753

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pediatrics Bellefonte Other name

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881651016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 MEDICAL PARK LN",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168239112",
            "telephone_number": "814-355-3626",
            "fax_number": "814-355-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 MEDICAL PARK LN",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168239112",
            "telephone_number": "814-355-3626",
            "fax_number": "814-355-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRE MEDICAL AND SURGICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCQUEARY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "COO/ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "814-234-4753"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD019154E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007679310031",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatrics Bellefonte",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Centre County MH Mr Da
• Centre County Office of Aging
• Centre Crest
• Centre Crest Pharmacy
• Centre Marriage and Relational Therapy, LLC
• Centre Medical and Surgical Associates, P.C.
• Susan K. Clouser, P.T
• Teresa Fernandes Collins, M.ED.
• Roberta Cooke, HIS
• County of Centre

• Pediatrics Physician in Bellefonte, PA
• Providers in Bellefonte, PA by specialty
• Pediatrics Physician in Pennsylvania

• 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.