Organization Active NPI

Capital Area Surgical Associates

  • Specialist
  • Harrisburg, PA
National Provider Identifier
1104882299
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CAPITAL AREA SURGICAL ASSOCIATES
Practice address
2626 N 3Rd St
The Rose Garden, Suite 2B
Harrisburg, PA 17110-2044
Phone
(717) 232-4112
Fax
(717) 233-8022
NPI assigned
Apr 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
J Edward Wilson, M.D.
Title
President
Phone
(717) 232-4112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2626 N 3Rd St
The Rose Garden, Suite 2B
Harrisburg, PA 17110-2044

Mailing address

2626 N 3Rd St
The Rose Garden, Suite 2B
Harrisburg, PA 17110-2044
Phone (717) 232-4112

Other identifiers 3

IdentifierTypeStateIssuer
02277400OtherPAPA BLUE CROSS
469587OtherPAUS HEALTHCARE
02277400OtherPAKEYSTONE HEALTH PLAN

National Provider Directory

National Provider Directory

Locations

890 Poplar Church Rd
Ste 206
Camp Hill, PA 17011

2626 N 3rd St
Ste 2B
Harrisburg, PA 17110
Phone (717) 231-8960

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104882299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 N 3RD ST",
            "address_2": "THE ROSE GARDEN, SUITE 2B",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171102044",
            "telephone_number": "717-232-4112",
            "fax_number": "717-233-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 N 3RD ST",
            "address_2": "THE ROSE GARDEN, SUITE 2B",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171102044",
            "telephone_number": "717-232-4112",
            "fax_number": "717-233-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL AREA SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-232-4112",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE CROSS",
            "identifier": "02277400",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US HEALTHCARE",
            "identifier": "469587",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN",
            "identifier": "02277400",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.