Organization Active NPI

Pinnacle Health Regional Physicians

  • Family Medicine Physician
  • Boiling Springs, PA
National Provider Identifier
1003345570
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PINNACLE HEALTH REGIONAL PHYSICIANS
Practice address
1358 Lutztown Rd
Boiling Springs, PA 17007-9302
Phone
(717) 249-8300
Fax
(717) 249-8301
NPI assigned
Jun 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Authorized official

Name
Christopher P. Markley
Title
Sr VP, Strat SVCS/Gen Counsel
Phone
(717) 231-8210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1358 Lutztown Rd
Boiling Springs, PA 17007-9302

Mailing address

409 S 2ND St Ste 2F
Harrisburg, PA 17104-1612

Other practice location 1

210 Forge Rd Ste 2
Boiling Springs, PA 17007-9787
Phone (717) 249-8300

Other names 2

  • Boiling Springs Family Medicine Doing business as
  • UPMC Primary Care Boiling Springs Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170810001731 PA Part B Supplier - Clinic/Group Practice 7416228358 Receives reassigned benefits from 514 practitioners
This NPI is an additional NPI on the enrollment

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1057747Upmc Primary Care Boiling Springs1358 Lutztown Road, Boiling Springs, PA 17007Certificate of waiverAug 21, 2026

National Provider Directory

National Provider Directory

Locations

1358 Lutztown Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15523/brand/3/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 7

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": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1003345570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST STE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1358 LUTZTOWN RD",
            "city": "BOILING SPRINGS",
            "state": "PA",
            "postal_code": "170079302",
            "telephone_number": "717-249-8300",
            "fax_number": "717-249-8301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Forge Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Boiling Springs",
            "state": "PA",
            "postal_code": "170079787",
            "country_code": "US",
            "telephone_number": "717-249-8300",
            "fax_number": "717-249-8301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PINNACLE HEALTH REGIONAL PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "MARKLEY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "SR VP, STRAT SVCS/GEN COUNSEL",
        "authorized_official_telephone_number": "717-231-8210"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boiling Springs Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Boiling Springs Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UPMC Primary Care Boiling Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boiling Springs, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.