Organization Active NPI

Digestive Care Consultants PC

  • Gastroenterology Physician
  • North Huntingdon, PA
National Provider Identifier
1912903287
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
077567 Issued in PA
Legal business name
DIGESTIVE CARE CONSULTANTS PC
Practice address
8775 Norwin Avenue
North Huntingdon, PA 15642-2718
Phone
(724) 864-0503
Fax
(724) 864-0535
NPI assigned
Jun 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Balu Shetty, MD
Title
President
Phone
(724) 864-0503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 077567 PA Primary

Addresses

Primary practice location

8775 Norwin Avenue
North Huntingdon, PA 15642-2718

Mailing address

585 Rugh Street
Suite 202
Greensburg, PA 15601-5667
Phone (724) 838-1534

Other identifiers 2

IdentifierTypeStateIssuer
200938995 0002MedicaidPA
DB3734OtherRR MEDICARE

National Provider Directory

National Provider Directory

Locations

585 Rugh St
Ste 202
Greensburg, PA 15601

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1912903287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 RUGH STREET",
            "address_2": "SUITE 202",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156015667",
            "telephone_number": "724-838-1534",
            "fax_number": "724-838-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8775 NORWIN AVENUE",
            "city": "NORTH HUNTINGDON",
            "state": "PA",
            "postal_code": "156422718",
            "telephone_number": "724-864-0503",
            "fax_number": "724-864-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE CARE CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "SHETTY",
        "authorized_official_first_name": "BALU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-864-0503",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "077567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200938995 0002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DB3734",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Huntingdon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.

Verify at the official NPI Registry.