Active NPI
Timothy Barcomb
- Student in an Organized Health Care Education/Training Program
- Shippensburg, PA
National Provider Identifier
1124663323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1871 Old Main Dr
Shippensburg, PA 17257-2200 - Phone
- (717) 555-5555
- NPI assigned
- Nov 12, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1871 Old Main Dr
Shippensburg, PA 17257-2200
Mailing address
1871 Old Main Dr
Shippensburg, PA 17257-2200
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | York | ||
| Other URL | student | ||
| Other URL | info@ship.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603929600000",
"number": "1124663323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1871 OLD MAIN DR",
"city": "SHIPPENSBURG",
"state": "PA",
"postal_code": "172572200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1871 OLD MAIN DR",
"city": "SHIPPENSBURG",
"state": "PA",
"postal_code": "172572200",
"telephone_number": "717-555-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARCOMB",
"first_name": "TIMOTHY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-12",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "York",
"affiliation": "N",
"address_1": "108 Winston Dr",
"city": "York",
"state": "PA",
"country_code": "US",
"postal_code": "174081032",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "student",
"affiliation": "N",
"address_1": "108 Winston Dr",
"city": "York",
"state": "PA",
"country_code": "US",
"postal_code": "174081032",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "info@ship.edu",
"affiliation": "N",
"address_1": "108 Winston Dr",
"city": "York",
"state": "PA",
"country_code": "US",
"postal_code": "174081032",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Shippensburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.