NPIMap

Organization Active NPI

Eden Park Pediatric Associates, LLP

  • Pediatrics Physician
  • Lancaster, PA
National Provider Identifier
1023077419
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
EDEN PARK PEDIATRIC ASSOCIATES, LLP
Practice address
1725 Oregon Pike
Suite 2
Lancaster, PA 17601-4206
Phone
(717) 569-8518
Fax
(717) 569-3903
NPI assigned
Mar 22, 2006
Last updated
Aug 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Authorized official

Name
Ms. Jill Elaine Valuch, D.O.NPI 1134108814
Title
Partner
Phone
(717) 569-8518

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1725 Oregon Pike
Suite 2
Lancaster, PA 17601-4206

Mailing address

1725 Oregon Pike
Suite 2
Lancaster, PA 17601-4206
Phone (717) 569-8518

National Provider Directory

National Provider Directory

Locations

1725 Oregon Pike
Fl 1
Lancaster, PA 17601

1725 Oregon Pike
Ste 100
Lancaster, PA 17601
Phone (717) 569-8518

1725 Oregon Pike
Ste 2
Lancaster, PA 17601
Phone (717) 569-8518

1725 Oregon Pike
Ste A100
Lancaster, PA 17601
Phone (717) 569-8518

779 E Main St
Mount Joy, PA 17552

799 E Main St
Mount Joy, PA 17552
Phone (717) 569-8518

Interoperability endpoints

  • Direct secure messaging: aevans@direct.edenparkpeds.com
  • Direct secure messaging: ccookmoine@direct.edenparkpeds.com
  • Direct secure messaging: jhipple@direct.edenparkpeds.com
  • Direct secure messaging: jvaluch@direct.edenparkpeds.com
  • Direct secure messaging: kcurtin@direct.edenparkpeds.com
  • Direct secure messaging: mknoxlee@direct.edenparkpeds.com
  • Direct secure messaging: nkeller@direct.edenparkpeds.com

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1023077419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 OREGON PIKE",
            "address_2": "SUITE 2",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014206",
            "telephone_number": "717-569-8518",
            "fax_number": "717-569-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 OREGON PIKE",
            "address_2": "SUITE 2",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014206",
            "telephone_number": "717-569-8518",
            "fax_number": "717-569-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN PARK PEDIATRIC ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "VALUCH",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "717-569-8518",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.