Active NPI
Juniata Valley Gastroenterology Associates, PC
- Gastroenterology Physician
- Lewistown, PA
National Provider Identifier
1891724621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- JUNIATA VALLEY GASTROENTEROLOGY ASSOCIATES, PC
- Practice address
- 310 Electric Ave Ste 100
Lewistown, PA 17044-1369 - Phone
- (717) 242-2531
- Fax
- (717) 242-1028
- NPI assigned
- Jul 2, 2006
- 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
- Dr. Charles W Everhart Jr., M.D.
- Title
- President
- Phone
- (717) 242-2531
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
310 Electric Ave Ste 100
Lewistown, PA 17044-1369
Mailing address
310 Electric Ave Ste 100
Lewistown, PA 17044-1369
Phone (717) 242-2531
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1258 | Other | PA | GEISINGER HEALTH PLAN |
| 02407600 | Other | PA | CAPITAL BLUE CROSS |
| 001054982 | Medicaid | PA | |
| F2189 | Other | PA | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308528000000",
"number": "1891724621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 ELECTRIC AVE STE 100",
"city": "LEWISTOWN",
"state": "PA",
"postal_code": "170441369",
"telephone_number": "717-242-2531",
"fax_number": "717-242-1028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 ELECTRIC AVE STE 100",
"city": "LEWISTOWN",
"state": "PA",
"postal_code": "170441369",
"telephone_number": "717-242-2531",
"fax_number": "717-242-1028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUNIATA VALLEY GASTROENTEROLOGY ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-02",
"last_updated": "2011-06-20",
"status": "A",
"authorized_official_last_name": "EVERHART",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "717-242-2531",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH PLAN",
"identifier": "1258",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "02407600",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001054982",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "F2189",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewistown, PA
- Christopher Ross Jones, DO
- Colleen Elise Jones, RDN
- Jose R. Acosta, M.D., P.C.
- Shrijana Joshee, PHARMD
- Joyner Sportsmedicine Institute Inc
- Juniata Valley Occupational Health PLLC
- Juniata Valley Tri-County Drug and Alcohol Abuse Commission
- Brittany Jury, DNP, CRNA
- Kauffman-Hummel Chiropractic Clinic
- Joseph Loren Kauffman
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.