NPIMap

Organization Active NPI

Dallastown Medical Associates LLP

  • Family Medicine Physician
  • Dallastown, PA
National Provider Identifier
1003881186
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DALLASTOWN MEDICAL ASSOCIATES LLP
Practice address
1010 Blymire Rd
Dallastown, PA 17313-9220
Phone
(717) 244-4531
Fax
(717) 246-8573
NPI assigned
Feb 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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

Authorized official

Name
Mrs. Nancy Berkheimer
Title
Office Manager
Phone
(717) 244-4531

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

1010 Blymire Rd
Dallastown, PA 17313-9220

Mailing address

1010 Blymire Rd
Dallastown, PA 17313-9220
Phone (717) 244-4531

Other identifiers 1

IdentifierTypeStateIssuer
1003881186OtherPANPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040621001102 PA Part B Supplier - Clinic/Group Practice 1153306576 Receives reassigned benefits from 7 practitioners
Practice locations: Dallastown, PA

National Provider Directory

National Provider Directory

Locations

1010 Blymire Rd
Dallastown, PA 17313
Phone (717) 244-4531

Practitioners & affiliated clinicians

Practitioners 8

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": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1003881186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 BLYMIRE RD",
            "city": "DALLASTOWN",
            "state": "PA",
            "postal_code": "173139220",
            "telephone_number": "717-244-4531",
            "fax_number": "717-246-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 BLYMIRE RD",
            "city": "DALLASTOWN",
            "state": "PA",
            "postal_code": "173139220",
            "telephone_number": "717-244-4531",
            "fax_number": "717-246-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLASTOWN MEDICAL ASSOCIATES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "BERKHEIMER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "717-244-4531",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1003881186",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallastown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.