Organization Active NPI

Medical Arts Allergy PC

  • Allergy & Immunology Physician
  • Carlisle, PA
National Provider Identifier
1104883214
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
MEDICAL ARTS ALLERGY PC
Practice address
220 Wilson St
Suite 200
Carlisle, PA 17013-3697
Phone
(717) 243-3103
Fax
(717) 218-0391
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Authorized official

Name
Elaine Novak
Title
Practice Administrator
Phone
(717) 243-3103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

220 Wilson St
Suite 200
Carlisle, PA 17013-3697

Mailing address

220 Wilson St
Suite 200
Carlisle, PA 17013-3697
Phone (717) 243-3103

Other identifiers 2

IdentifierTypeStateIssuer
02860700OtherPACAPITAL BLUE CROSS GROUP
1527052OtherPAHIGHMARK BLUE SHIELD GP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040701000766 PA Part B Supplier - Clinic/Group Practice 5193702785 Receives reassigned benefits from 1 practitioner
Practice locations: Harrisburg, PA; Mechanicsburg, PA

National Provider Directory

National Provider Directory

Locations

220 Wilson St
Ste 200
Carlisle, PA 17013
Phone (717) 243-7540

220 Wilson St
Ste 213
Carlisle, PA 17013
Phone (717) 243-7540

4310 Londonderry Rd
Ste 201
Harrisburg, PA 17109
Phone (717) 920-4340

4250 Crums Mill Rd
Ste 200
Harrisburg, PA 17112
Phone (717) 243-7540

1700 Bent Creek Blvd
Ste 210
Mechanicsburg, PA 17050
Phone (717) 791-2640

2025 Technology Pkwy
Ste 310
Mechanicsburg, PA 17050
Phone (717) 791-2640

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491436800000",
    "number": "1104883214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 WILSON ST",
            "address_2": "SUITE 200",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133697",
            "telephone_number": "717-243-3103",
            "fax_number": "717-218-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 WILSON ST",
            "address_2": "SUITE 200",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133697",
            "telephone_number": "717-243-3103",
            "fax_number": "717-218-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ARTS ALLERGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2017-04-06",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "717-243-3103"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS GROUP",
            "identifier": "02860700",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD GP",
            "identifier": "1527052",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.