Mid State Medical of PA LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MID STATE MEDICAL OF PA LLC

Practice address

2992 E Prospect Rd
York, PA 17402-9628

Phone

(717) 881-8900

Fax

(888) 255-0868

NPI assigned

May 4, 2018

Organization subpart

No

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

Authorized official

Name

Robert W Derowski

Title

Owner

Phone

(717) 881-8900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1154810174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2992 E PROSPECT RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029628",
            "telephone_number": "717-881-8900",
            "fax_number": "888-255-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2992 E PROSPECT RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029628",
            "telephone_number": "717-881-8900",
            "fax_number": "888-255-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID STATE MEDICAL OF PA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "DEROWSKI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-881-8900"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra S Meyers, CRNP
• Justin Meyers, P.T.
• Whitney Michael, PTA
• Michelle Cantwell DMD PC
• Aimee Elizabeth Mickey, MSW, LCSW
• Midstate Institute of Surgery LLC
• Damaris Debora Mikesell
• Katelyn Miklos, PA-C
• Sarah Dixon Milich, OT
• Megan Miliziano, ATC

• Durable Medical Equipment & Medical Supplies in York, PA
• Providers in York, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; 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.