NPIMap

Organization Active NPI

Davenshire Medical Center Partnership

  • Family Medicine Physician
  • Dover, PA
National Provider Identifier
1023040490
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DAVENSHIRE MEDICAL CENTER PARTNERSHIP
Practice address
3740 Carlisle Rd
Dover, PA 17315-4416
Phone
(717) 292-3168
Fax
(717) 292-3479
NPI assigned
Jul 7, 2006
Last updated
Apr 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Robin Terry
Title
Office Manager
Phone
(717) 292-3168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

3740 Carlisle Rd
Dover, PA 17315-4416

Mailing address

3740 Carlisle Rd
Dover, PA 17315-4416
Phone (717) 292-3168

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040505001237 PA Part B Supplier - Clinic/Group Practice 2062400187 Receives reassigned benefits from 4 practitioners
Practice locations: Dover, PA

National Provider Directory

National Provider Directory
Tax ID family
Davenshire Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1023040490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 CARLISLE RD",
            "city": "DOVER",
            "state": "PA",
            "postal_code": "173154416",
            "telephone_number": "717-292-3168",
            "fax_number": "717-292-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 CARLISLE RD",
            "city": "DOVER",
            "state": "PA",
            "postal_code": "173154416",
            "telephone_number": "717-292-3168",
            "fax_number": "717-292-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVENSHIRE MEDICAL CENTER PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "717-292-3168"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.