Active NPI
Cpgi Endoscopy Center, LLC
- Ambulatory Surgical Clinic/Center
- Lewisburg, PA
National Provider Identifier
1962436337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- CPGI ENDOSCOPY CENTER, LLC
- Practice address
- 90 Medical Park Drive
Lewisburg, PA 17837-8032 - Phone
- (570) 524-2722
- Fax
- (570) 524-0362
- NPI assigned
- Jul 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Shelley N Rine
- Title
- Practice Administrator
- Phone
- (570) 524-2722
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
90 Medical Park Drive
Lewisburg, PA 17837-8032
Mailing address
90 Medical Park Drive
Lewisburg, PA 17837-8032
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Lewisburg, PA
- NPI 1528040573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1962436337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 MEDICAL PARK DRIVE",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "178378032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 MEDICAL PARK DRIVE",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "178378032",
"telephone_number": "570-524-2722",
"fax_number": "570-524-0362"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CPGI ENDOSCOPY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RINE",
"authorized_official_first_name": "SHELLEY",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "570-524-2722",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.