Shippensburg Family Practice, LTD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SHIPPENSBURG FAMILY PRACTICE, LTD

Practice address

46 Walnut Bottom Rd
Shippensburg, PA 17257-8219

Phone

(717) 530-5117

Fax

(717) 262-4593

NPI assigned

May 23, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Margery Ann Gordon, DONPI 1740228071

Title

Medical Director

Phone

(717) 530-5117

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Margery Ann Gordon, D.O.

  • Family Medicine Physician
  • Columbia City, IN
  • NPI 1740228071
  NPD (past) Authorized official

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033164702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 WALNUT BOTTOM RD",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172578219",
            "telephone_number": "717-530-5117",
            "fax_number": "717-262-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 WALNUT BOTTOM RD",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172578219",
            "telephone_number": "717-530-5117",
            "fax_number": "717-262-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIPPENSBURG FAMILY PRACTICE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "MARGERY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "717-530-5117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanctuary Christian Counseling LLC
• Carlos R Sandoval-Martinez, MD
• Brittni Shearer, MS
• Shippensburg Area Emergency Medical Services Inc
• Shippensburg Area School District
• Shippensburg Opco, LLC
• Shippensburg Physical Therapy and Sports Medicine, LLC
• Hersh A Shukla, MPT
• Bernard Smack
• Southampton Manor Nursing and Rehabilitation Center, LP

• Primary Care Clinic/Center in Shippensburg, PA
• Providers in Shippensburg, PA by specialty
• Primary Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.