Active NPI
Pennsylvania Headache Center PC
- Neurology Physician
- Camp Hill, PA
National Provider Identifier
1063189082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- PENNSYLVANIA HEADACHE CENTER PC
- Practice address
- 205 Grandview Ave Ste 206
Camp Hill, PA 17011-1708 - Phone
- (717) 745-6223
- Fax
- (717) 645-6224
- NPI assigned
- Aug 26, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Barbara Lee Peterlin, DO
- Title
- President
- Phone
- (717) 745-6223
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
205 Grandview Ave Ste 206
Camp Hill, PA 17011-1708
Mailing address
205 Grandview Ave Ste 206
Camp Hill, PA 17011-1708
Phone (717) 745-6223
National Provider Directory
National Provider DirectoryLocations
205 Grandview Ave
Ste 206
Camp Hill, PA 17011
Phone (404) 228-9892
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629936000000",
"number": "1063189082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 GRANDVIEW AVE STE 206",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170111708",
"telephone_number": "717-745-6223",
"fax_number": "717-645-6224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 GRANDVIEW AVE STE 206",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170111708",
"telephone_number": "717-745-6223",
"fax_number": "717-645-6224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PENNSYLVANIA HEADACHE CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-26",
"last_updated": "2021-08-26",
"certification_date": "2021-08-26",
"status": "A",
"authorized_official_last_name": "PETERLIN",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "717-745-6223",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.