Active NPI
Pennsylvania Neurological Associates LTD
- Neurology Physician
- Lemoyne, PA
National Provider Identifier
1003907965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD045352E
- Legal business name
- PENNSYLVANIA NEUROLOGICAL ASSOCIATES LTD
- Practice address
- 110 Lowther St
Lemoyne, PA 17043-2012 - Phone
- (717) 774-2202
- Fax
- (717) 774-2634
- NPI assigned
- Sep 27, 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. Deb Null
- Title
- Office Manager
- Phone
- (717) 774-2202
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD045352E | PA | Primary |
| Neurology Physician | 2084N0400X | MD046124L | PA | |
| Neurology Physician | 2084N0400X | MD069690L | PA | |
| Neurology Physician | 2084N0400X | MD073033L | PA |
Addresses
Primary practice location
110 Lowther St
Lemoyne, PA 17043-2012
Mailing address
110 Lowther St
Lemoyne, PA 17043-2012
Phone (717) 774-2202
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083679559 | Other | NPI INDIV | |
| 1174588644 | Other | NPI INDIV | |
| 049923NOC | Other | MEDICARE ID | |
| 1861456675 | Other | NPI INDIV | |
| 1427009521 | Other | INDIVIDUAL NPI |
National Provider Directory
National Provider DirectoryLocations
110 Lowther St
Lemoyne, PA 17043
Phone (717) 230-3700
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Mechanicsburg, PA
- NPI 1083679559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312329600000",
"number": "1003907965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 LOWTHER ST",
"city": "LEMOYNE",
"state": "PA",
"postal_code": "170432012",
"telephone_number": "717-774-2202",
"fax_number": "717-774-2634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 LOWTHER ST",
"city": "LEMOYNE",
"state": "PA",
"postal_code": "170432012",
"telephone_number": "717-774-2202",
"fax_number": "717-774-2634"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PENNSYLVANIA NEUROLOGICAL ASSOCIATES LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-27",
"last_updated": "2011-08-03",
"status": "A",
"authorized_official_last_name": "NULL",
"authorized_official_first_name": "DEB",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "717-774-2202",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MD045352E",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MD046124L",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MD069690L",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MD073033L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI INDIV",
"identifier": "1083679559",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI INDIV",
"identifier": "1174588644",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "049923NOC",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI INDIV",
"identifier": "1861456675",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1427009521",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lemoyne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.