Organization Active NPI

Central Pennsylvania Cardiology Associates LLC

  • Cardiovascular Disease Physician
  • Lewisburg, PA
National Provider Identifier
1992738314
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD011806E Issued in PA
Legal business name
CENTRAL PENNSYLVANIA CARDIOLOGY ASSOCIATES LLC
Practice address
131 JPM Rd
Lewisburg, PA 17837-9309
Phone
(570) 524-4211
Fax
(570) 524-4255
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charles E Heid, MDNPI 1629094685
Title
President Partner
Phone
(570) 524-4211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X MD011806E PA Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X MD027347E PA

Addresses

Primary practice location

131 JPM Rd
Lewisburg, PA 17837-9309

Mailing address

131 JPM Rd
Lewisburg, PA 17837-9309
Phone (570) 524-4211

Other identifiers 2

IdentifierTypeStateIssuer
0006601640002MedicaidPA
0010510310003MedicaidPA

National Provider Directory

National Provider Directory

Locations

3 Hospital Dr
Ste 316
Lewisburg, PA 17837
Phone (570) 524-4211

131 Jpm Rd
Lewisburg, PA 17837
Phone (570) 523-6115

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992738314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 JPM RD",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379309",
            "telephone_number": "570-524-4211",
            "fax_number": "570-524-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 JPM RD",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379309",
            "telephone_number": "570-524-4211",
            "fax_number": "570-524-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PENNSYLVANIA CARDIOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEID",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT PARTNER",
        "authorized_official_telephone_number": "570-524-4211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD011806E",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD027347E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006601640002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010510310003",
            "state": "PA"
        }
    ],
    "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.

Verify at the official NPI Registry.