Organization Active NPI

Pennsylvania Neurological Associates LTD

  • Neurology Physician
  • Lemoyne, PA
National Provider Identifier
1003907965
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD045352E Issued in PA
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

Updated by the provider on Aug 3, 2011

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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X MD045352E PA Primary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X MD046124L PA
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X MD069690L PA
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1083679559OtherNPI INDIV
1174588644OtherNPI INDIV
049923NOCOtherMEDICARE ID
1861456675OtherNPI INDIV
1427009521OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.