Organization Active NPI

Spring Road Family Practice

  • Family Medicine Physician
  • Carlisle, PA
National Provider Identifier
1033190772
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SPRING ROAD FAMILY PRACTICE
Practice address
1921 Spring Rd
Carlisle, PA 17013-1157
Phone
(717) 243-5444
Fax
(717) 243-8578
NPI assigned
Nov 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
Mrs. Kathy L Bridge
Title
Office Manager
Phone
(717) 243-5444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1921 Spring Rd
Carlisle, PA 17013-1157

Mailing address

1921 Spring Rd
Carlisle, PA 17013-1157
Phone (717) 243-5444

Other identifiers 1

IdentifierTypeStateIssuer
0019522250006MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1033190772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 SPRING RD",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170131157",
            "telephone_number": "717-243-5444",
            "fax_number": "717-243-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 SPRING RD",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170131157",
            "telephone_number": "717-243-5444",
            "fax_number": "717-243-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING ROAD FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "BRIDGE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "717-243-5444",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019522250006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.