Active NPI
Ralph H. Kaiser, M.D.
- Pediatrics Physician
- Williamsport, PA
National Provider Identifier
1891796389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD-010165-E
- Practice address
- 471 Hepburn St
Williamsport, PA 17701-6122 - Phone
- (570) 567-5400
- Fax
- (570) 567-5421
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD-010165-E | PA | Primary |
Addresses
Primary practice location
471 Hepburn St
Williamsport, PA 17701-6122
Mailing address
471 Hepburn St
Williamsport, PA 17701-6122
Phone (570) 567-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006210030005 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-010165-E | PA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1891796389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "471 HEPBURN ST",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177016122",
"telephone_number": "570-567-5400",
"fax_number": "570-567-5421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "471 HEPBURN ST",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177016122",
"telephone_number": "570-567-5400",
"fax_number": "570-567-5421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAISER",
"first_name": "RALPH",
"middle_name": "H.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD-010165-E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006210030005",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Williamsport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.