Active NPI
Charles W Everhart Jr., M.D.
- Gastroenterology Physician
- Lewistown, PA
National Provider Identifier
1942279484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD019992E
- Practice address
- 310 Electric Ave
Suite 100
Lewistown, PA 17044-1369 - Phone
- (717) 242-2531
- Fax
- (717) 242-1028
- NPI assigned
- Mar 16, 2006
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD019992E | PA | Primary |
Addresses
Primary practice location
310 Electric Ave
Suite 100
Lewistown, PA 17044-1369
Mailing address
310 Electric Ave
Suite 100
Lewistown, PA 17044-1369
Phone (717) 242-2531
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01412701 | Other | PA | CAPITAL BLUE CROSS |
| 0915290 | Medicaid | PA | |
| 28124 | Other | PA | GEISINGER HEALTH PLAN |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endoscopy Center of Pennsylvania Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Surgical Clinic/Center
- Lewistown, PA
- NPI 1518930866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308009600000",
"number": "1942279484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 ELECTRIC AVE",
"address_2": "SUITE 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",
"address_2": "SUITE 100",
"city": "LEWISTOWN",
"state": "PA",
"postal_code": "170441369",
"telephone_number": "717-242-2531",
"fax_number": "717-242-1028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERHART",
"first_name": "CHARLES",
"middle_name": "W",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2011-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "PA",
"license": "MD019992E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "01412701",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0915290",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH PLAN",
"identifier": "28124",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lewistown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.