NPIMap

Organization Active NPI

Associates in Medical Toxicology PC

  • Internal Medicine Physician
  • Lemoyne, PA
National Provider Identifier
1215313275
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS015726 Issued in PA
Legal business name
ASSOCIATES IN MEDICAL TOXICOLOGY PC
Practice address
716 State St
Lemoyne, PA 17043-1536
Phone
(717) 547-5337
NPI assigned
Jul 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Authorized official

Name
Dr. Philip W Moore, DONPI 1396906640
Title
President
Phone
(717) 547-5337

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X OS015726 PA Primary
Addiction Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0401X OS015726 PA
Medical Toxicology (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083T0002X OS015726 PA

Addresses

Primary practice location

716 State St
Lemoyne, PA 17043-1536

Mailing address

716 State St
Lemoyne, PA 17043-1536
Phone (717) 547-5337

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150828000023 PA Part B Supplier - Clinic/Group Practice 1456667013 Receives reassigned benefits from 3 practitioners
Practice locations: Harrisburg, PA; Mechanicsburg, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2247720Associates in Medical Toxicology PC716 State Street, Lemoyne, PA 17043Certificate of waiverJan 7, 2028

National Provider Directory

National Provider Directory

Locations

60 S 40St St
Harrisburg, PA 17111
Phone (888) 519-2325

4824 Londonderry Rd
Harrisburg, PA 17109
Phone (717) 547-5478

Practitioners & affiliated clinicians

Practitioners 9

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": "1438300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1215313275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 STATE ST",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170431536",
            "telephone_number": "717-547-5337",
            "fax_number": "717-609-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 STATE ST",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170431536",
            "telephone_number": "717-547-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN MEDICAL TOXICOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-31",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-547-5337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS015726",
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "PA",
            "license": "OS015726",
            "primary": false
        },
        {
            "code": "2083T0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Medical Toxicology",
            "state": "PA",
            "license": "OS015726",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemoyne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.