Internists of Central PA LTD

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

MD064799L Issued in PA

Legal business name

INTERNISTS OF CENTRAL PA LTD

Practice address

108 Lowther St
2ND FLR
Lemoyne, PA 17043-2045

Phone

(717) 774-1366

NPI assigned

Feb 1, 2010

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

Sr. Director of Operations

Phone

(858) 625-2990

Specialties & licenses 1

Addresses

Other names 1

• Internists of Central PA Doing business as

Tax ID family

Internists of Central PA2 organizations share this tax ID, including this one

Part of

Tri - State Medical Group Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Internists of Central Pennsylvania

  • Physician Assistant
  • Lemoyne, PA
  • NPI 1861862591
  NPD tax ID

Locations

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1083946164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 LOWTHER ST",
            "address_2": "2ND FLR",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170432045",
            "telephone_number": "717-774-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNISTS OF CENTRAL PA LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2010-02-01",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "SR. DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "858-625-2990"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "PA",
            "license": "MD064799L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internists of Central PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holy Spirit Hospital
• Kara Hughan
• Humble Beginnings Counseling, LLC
• Mary Beth Hummel, P.T.
• Susan Charlotte Hunter, CRNP
• Internists of Central Pennsylvania
• Internists of Central Pennsylvania LTD.
• J E T Response Corp
• J.E.T. Response LLC
• Cimy Susan Jacob, MD

• Non-Pharmacy Dispensing Site in Lemoyne, PA
• Providers in Lemoyne, PA by specialty
• Non-Pharmacy Dispensing Site in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.