Organization Active NPI

Ljubisa M. Stankovic, M.D., PC

  • Specialist
  • Camp Hill, PA
National Provider Identifier
1033320551
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD037459L Issued in PA
Legal business name
LJUBISA M. STANKOVIC, M.D., PC
Practice address
797 Poplar Church Rd
Camp Hill, PA 17011-2314
Phone
(717) 763-4383
Fax
(717) 763-4953
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Ljubisa Mihajlo Stankovic, M.D.
Title
President
Phone
(717) 763-4383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD037459L PA Primary

Addresses

Primary practice location

797 Poplar Church Rd
Camp Hill, PA 17011-2314

Mailing address

797 Poplar Church Rd
Camp Hill, PA 17011-2314
Phone (717) 763-4383

Other identifiers 5

IdentifierTypeStateIssuer
443111398OtherPARAILROAD MEDICARE
MD037459LOtherPASTATE LICENCE
50002585OtherPACAPITAL BLUE CROSS
0007440400001MedicaidPA
ST025763OtherPAHIGHMARK BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1033320551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "797 POPLAR CHURCH RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112314",
            "telephone_number": "717-763-4383",
            "fax_number": "717-763-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "797 POPLAR CHURCH RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112314",
            "telephone_number": "717-763-4383",
            "fax_number": "717-763-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LJUBISA M. STANKOVIC, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "STANKOVIC",
        "authorized_official_first_name": "LJUBISA",
        "authorized_official_middle_name": "MIHAJLO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-763-4383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD037459L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "443111398",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "MD037459L",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50002585",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007440400001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "ST025763",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.