Active NPI
Patrick A. Jarvie, MD
- General Practice Physician
- Port Matilda, PA
National Provider Identifier
1992896237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- C10003850
- Practice address
- Geisinger Pediatrics
132 Abigail Lane
Port Matilda, PA 16870 - Phone
- (814) 272-7100
- Fax
- (814) 272-6510
- NPI assigned
- Sep 28, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C10003850 | DE | |
| General Practice Physician | 208D00000X | C10003850 | DE | Primary |
Addresses
Primary practice location
Geisinger Pediatrics
132 Abigail Lane
Port Matilda, PA 16870
Mailing address
Geisinger Pediatrics
132 Abigail Lane
Port Matilda, PA 16870
Phone (814) 272-7100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6706908 | Medicaid | VA | |
| 101045770 | Medicaid | PA | |
| 6398405 | Medicaid | NJ | |
| 2115010 | Medicaid | MD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C10003850 | DE | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322697600000",
"number": "1992896237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "GEISINGER PEDIATRICS",
"address_2": "132 ABIGAIL LANE",
"city": "PORT MATILDA",
"state": "PA",
"postal_code": "16870",
"telephone_number": "814-272-7100",
"fax_number": "814-272-6510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GEISINGER PEDIATRICS",
"address_2": "132 ABIGAIL LANE",
"city": "PORT MATILDA",
"state": "PA",
"postal_code": "16870",
"telephone_number": "814-272-7100",
"fax_number": "814-272-6510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARVIE",
"first_name": "PATRICK",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2011-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DE",
"license": "C10003850",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "DE",
"license": "C10003850",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6706908",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101045770",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6398405",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2115010",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Matilda, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.