Active NPI
Plastic and Reconstructive Surgery, P.C.
- Surgery of the Hand (Plastic Surgery) Physician
- York, PA
National Provider Identifier
1073581542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Plastic Surgery) Physician
- Legal business name
- PLASTIC AND RECONSTRUCTIVE SURGERY, P.C.
- Practice address
- 2295 S George St
York, PA 17403 - Phone
- (717) 741-9599
- Fax
- (717) 741-0420
- NPI assigned
- Mar 10, 2006
- 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
- Nina Eldridge Born, RN
- Title
- Practice Manager Sec Trea of Corp
- Phone
- (717) 741-9599
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | |||
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | Primary |
Addresses
Primary practice location
2295 S George St
York, PA 17403
Mailing address
2295 S George St
York, PA 17403
Phone (717) 741-9599
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001164812004 | Medicaid | PA | |
| 742753 | Other | PA | BLUE SHIELD |
| 20009842 | Other | PA | AMERIHEALTH MERCY |
| 240006830 | Other | PA | RAILROAD MEDICARE |
| 742753 | Other | PA | KEYSTONE |
| 1523691 | Other | PA | GATEWAY |
| P018712A002 | Other | CHAMPUS | |
| 01873201 | Other | CAPITAL BLUE CROSS |
National Provider Directory
National Provider DirectoryLocations
2295 S George St
York, PA 17403
Phone (717) 235-2971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1290556800000",
"number": "1073581542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2295 S GEORGE ST",
"city": "YORK",
"state": "PA",
"postal_code": "17403",
"telephone_number": "717-741-9599",
"fax_number": "717-741-0420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2295 S GEORGE ST",
"city": "YORK",
"state": "PA",
"postal_code": "17403",
"telephone_number": "717-741-9599",
"fax_number": "717-741-0420"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLASTIC AND RECONSTRUCTIVE SURGERY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-10",
"last_updated": "2010-11-24",
"status": "A",
"authorized_official_last_name": "BORN",
"authorized_official_first_name": "NINA",
"authorized_official_middle_name": "ELDRIDGE",
"authorized_official_title_or_position": "PRACTICE MANAGER SEC TREA OF CORP",
"authorized_official_telephone_number": "717-741-9599",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2082S0105X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001164812004",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "742753",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY",
"identifier": "20009842",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "240006830",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "742753",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1523691",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "P018712A002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "01873201",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.