NPIMap

Organization Active NPI

Int Med ASC of Huntingdon PC

  • Adolescent Medicine (Internal Medicine) Physician
  • Huntingdon, PA
National Provider Identifier
1902986219
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
MD018927E Issued in PA
Legal business name
INT MED ASC OF HUNTINGDON PC
Practice address
3228 Cold Springs Rd
Huntingdon, PA 16652-2721
Phone
(814) 643-6462
Fax
(814) 643-0435
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Dr. Bruce L Thomas, M.D.
Title
President
Phone
(814) 643-6462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RA0000X MD018927E PA Primary

Addresses

Primary practice location

3228 Cold Springs Rd
Huntingdon, PA 16652-2721

Mailing address

3228 Cold Springs Rd
Huntingdon, PA 16652-2721
Phone (814) 643-6462

National Provider Directory

National Provider Directory
Tax ID family
Cold Springs Medical Laboratory2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1902986219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3228 COLD SPRINGS RD",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166522721",
            "telephone_number": "814-643-6462",
            "fax_number": "814-643-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3228 COLD SPRINGS RD",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166522721",
            "telephone_number": "814-643-6462",
            "fax_number": "814-643-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INT MED ASC OF HUNTINGDON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-643-6462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "PA",
            "license": "MD018927E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.