I Bub E Wittels & D Karabelnik PTRS

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

I BUB E WITTELS & D KARABELNIK PTRS

Practice address

2610 Keiser Blvd
Wyomissing, PA 19610-3333

Phone

(610) 775-3316

Fax

(610) 796-2962

NPI assigned

Sep 13, 2005

Last updated

Apr 8, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ivan Bub, MDNPI 1245224302

Title

Partner

Phone

(610) 775-3316

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ivan Bub, MD

  • Family Medicine Physician
  • Wyomissing, PA
  • NPI 1245224302
  Authorized official Same address or phone
• Carolyn C. Riddle, PA-C

  • Medical Physician Assistant
  • Coatesville, PA
  • NPI 1194836544
  NPD (past)

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1952396343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 KEISER BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103333",
            "telephone_number": "610-775-3316",
            "fax_number": "610-796-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 KEISER BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103333",
            "telephone_number": "610-775-3316",
            "fax_number": "610-796-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I BUB E WITTELS & D KARABELNIK PTRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "BUB",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "610-775-3316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016241080008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Huseman, CRNP
• Frank Hutchko Jr., PSY D
• Dominick Matthew Hutt
• Kathryn A. Hynes, MS
• I Am Counseling LLC
• Christopher Bahy Ibrahim, M.D.
• Frederick Stuart Indenbaum, ED.S, LPC
• Infusion Center of Berks County PC
• Institute for Advanced Medicine and Wellness PLLC
• Integral Physical Therapy, LLC

• Family Medicine Physician in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.