Organization Active NPI

Washington Heights Medical Practice P.C.

  • Family Medicine Physician
  • Lemoyne, PA
National Provider Identifier
1053341834
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WASHINGTON HEIGHTS MEDICAL PRACTICE P.C.
Practice address
50 N 12TH St
Ground Level
Lemoyne, PA 17043-1428
Phone
(717) 612-9790
Fax
(717) 612-9846
NPI assigned
Jul 4, 2006
Last updated
Dec 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Dr. Jane Kirker Conroy, D.O.
Title
President
Phone
(717) 612-9790

Specialties & licenses 1

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

Addresses

Primary practice location

50 N 12TH St
Ground Level
Lemoyne, PA 17043-1428

Mailing address

50 N 12TH St
Ground Level
Lemoyne, PA 17043-1428
Phone (717) 612-9790

Other identifiers 2

IdentifierTypeStateIssuer
02308200OtherPACAPITAL BLUE CROSS
WA655345OtherPAHIGHMARK 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": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1053341834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N 12TH ST",
            "address_2": "GROUND LEVEL",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170431428",
            "telephone_number": "717-612-9790",
            "fax_number": "717-612-9846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N 12TH ST",
            "address_2": "GROUND LEVEL",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170431428",
            "telephone_number": "717-612-9790",
            "fax_number": "717-612-9846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON HEIGHTS MEDICAL PRACTICE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "CONROY",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "KIRKER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-612-9790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02308200",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "WA655345",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemoyne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.