Organization Active NPI

Plastic and Reconstructive Surgery, P.C.

  • Surgery of the Hand (Plastic Surgery) Physician
  • York, PA
National Provider Identifier
1073581542
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
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

Updated by the provider on Nov 24, 2010

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)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208200000X
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
001164812004MedicaidPA
742753OtherPABLUE SHIELD
20009842OtherPAAMERIHEALTH MERCY
240006830OtherPARAILROAD MEDICARE
742753OtherPAKEYSTONE
1523691OtherPAGATEWAY
P018712A002OtherCHAMPUS
01873201OtherCAPITAL BLUE CROSS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.