Individual provider Active NPI

Jonathan Shirey, M.D.

  • Anesthesiology Physician
  • Harrisburg, PA
National Provider Identifier
1194926360
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MT190918 Issued in PA
Practice address
1 Rutherford Rd Ste 101
Harrisburg, PA 17109-4540
Phone
(717) 545-5256
Fax
(717) 545-5259
NPI assigned
May 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MT190918 PA Primary

Addresses

Primary practice location

1 Rutherford Rd Ste 101
Harrisburg, PA 17109-4540

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 270-7500

Other practice location 1

252 S 4th St
Lebanon, PA 17042-6111
Phone (717) 270-7500

Other practice location 2

169 Martin Ave
Ephrata, PA 17522-1734
Phone (717) 733-0311

Other identifiers 1

IdentifierTypeStateIssuer
1025813670001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110720000269 PA Practitioner - Anesthesiology 8022286913 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT190918PAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia, Pennsylvania , LLC Anesthesiology CurrentSince Jun 10, 2023 Accepting new patients
Riverside Anesthesia Associates, LTD Anesthesiology CurrentSince Jul 1, 2011 Accepting new patients
Wellspan Medical Group CurrentSince Jul 10, 2023 Accepting new patients
Orthopedic Assoc of Lancaster LTD Anesthesiology CurrentSince Oct 5, 2022 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Jul 10, 2023 Accepting new patients
Orthopedic Assoc of Lancaster LTD CurrentSince Oct 5, 2022 Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC Anesthesiology CurrentSince Apr 21, 2018 Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC CurrentSince Apr 21, 2018 Accepting new patients

Locations

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

1 Rutherford Rd
Ste 101
Harrisburg, PA 17109
Phone (717) 545-5256

170 N Pointe Blvd
Lancaster, PA 17601

250 College Ave
Lancaster, PA 17603
Phone (717) 291-8211

252 S 4th St
Lebanon, PA 17042
Phone (717) 270-7500

1500 Highlands Dr
Lititz, PA 17543
Phone (717) 625-5000

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

Interoperability endpoints

  • Direct secure messaging: jshirey364993@wellspan.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1194926360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-270-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RUTHERFORD RD STE 101",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094540",
            "telephone_number": "717-545-5256",
            "fax_number": "717-545-5259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "252 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170426111",
            "country_code": "US",
            "telephone_number": "717-270-7500",
            "fax_number": "717-228-1642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "169 Martin Ave",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221734",
            "country_code": "US",
            "telephone_number": "717-733-0311",
            "fax_number": "717-721-5861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIREY",
        "first_name": "JONATHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MT190918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025813670001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.