NPIMap

Organization Active NPI

Moffitt Heart and Vascular Group Inc.

  • Cardiovascular Disease Physician
  • Wormleysburg, PA
National Provider Identifier
1083616437
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MOFFITT HEART AND VASCULAR GROUP INC.
Practice address
1000 N Front St
Suite 200
Wormleysburg, PA 17043-1034
Phone
(717) 731-0101
Fax
(717) 441-0592
NPI assigned
Aug 15, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. William Strouse, MBA,CPA
Title
Controller
Phone
(717) 731-0101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X PA Primary

Addresses

Primary practice location

1000 N Front St
Suite 200
Wormleysburg, PA 17043-1034

Mailing address

1000 N Front St
Suite 200
Wormleysburg, PA 17043-1034
Phone (717) 731-0101

National Provider Directory

National Provider Directory

Locations

757 Norland Ave
Ste 205
Chambersburg, PA 17201
Phone (717) 217-6881

4250 Crums Mill Rd
Ste 101
Harrisburg, PA 17112
Phone (717) 441-1566

1000 N Front St
Ste 200
Wormleysburg, PA 17043

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083616437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N FRONT ST",
            "address_2": "SUITE 200",
            "city": "WORMLEYSBURG",
            "state": "PA",
            "postal_code": "170431034",
            "telephone_number": "717-731-0101",
            "fax_number": "717-441-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N FRONT ST",
            "address_2": "SUITE 200",
            "city": "WORMLEYSBURG",
            "state": "PA",
            "postal_code": "170431034",
            "telephone_number": "717-731-0101",
            "fax_number": "717-441-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOFFITT HEART AND VASCULAR GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STROUSE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "717-731-0101",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA,CPA"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wormleysburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.