East End Medical Group

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

EAST END MEDICAL GROUP

Practice address

1205 S 28TH St
Harrisburg, PA 17111-1046

Phone

(717) 565-7008

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard Ulrich, M.D.

Title

Owner

Phone

(717) 565-7008

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1245446095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 S 28TH ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171111046",
            "telephone_number": "717-565-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 S 28TH ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171111046",
            "telephone_number": "717-565-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST END MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ULRICH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-565-7008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Harrisburg, PA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.