Individual provider Active NPI

Elizabeth Joan Anderson, M.D.

  • Procedural Dermatology Physician
  • Camp Hill, PA
National Provider Identifier
1265450415
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
MD049977L Issued in PA
Practice address
104 Erford Rd
Camp Hill, PA 17011-1807
Phone
(717) 763-7685
Fax
(717) 975-2950
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X MD049977L PA Primary

Addresses

Primary practice location

104 Erford Rd
Camp Hill, PA 17011-1807

Mailing address

104 Erford Rd
Camp Hill, PA 17011-1807
Phone (717) 763-7685

Other identifiers 2

IdentifierTypeStateIssuer
742106OtherPABLUE SHIELD
02087801OtherPACAPITAL BLUE CROSS

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
I20110124000549 PA Practitioner - Dermatology 5193904118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Perelman School of Med at the University of Pennsylvania, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crumay Parnes Associates, Inc.Group PAC ID 7719976604, 6 clinicians

Practice addresses (Care Compare)

1822 Good Hope Rd
Enola, PA 17025-1233
Phone (717) 763-7685

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.03 of 100Reported as group
Quality
88.06
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1590
Removal or shaving of skin growth269
Skin biopsy67

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Crumay Parnes Associates, Inc. Procedural Dermatology CurrentSince Jun 28, 1993 Accepting new patients

Locations

104 Erford Rd
Camp Hill, PA 17011
Phone (717) 763-7685

1822 Good Hope Rd
Enola, PA 17025
Phone (717) 763-7685

Organizations & group practices 1

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1265450415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ERFORD RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111807",
            "telephone_number": "717-763-7685",
            "fax_number": "717-975-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 ERFORD RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111807",
            "telephone_number": "717-763-7685",
            "fax_number": "717-975-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ELIZABETH",
        "middle_name": "JOAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "PA",
            "license": "MD049977L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "742106",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02087801",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.