Organization Active NPI

East Shore Medical & Pain Management PC

  • Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
  • Harrisburg, PA
National Provider Identifier
1265670996
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X
License
DC003322L Issued in PA
Legal business name
EAST SHORE MEDICAL & PAIN MANAGEMENT PC
Practice address
915 N Mountain Rd
Suite C
Harrisburg, PA 17112-1793
Phone
(717) 652-5550
Fax
(717) 652-2488
NPI assigned
Feb 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Authorized official

Name
Dr. Matthew S Boland, D.C.
Title
Owner
Phone
(717) 652-5550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081N0008X DC003322L PA Primary

Addresses

Primary practice location

915 N Mountain Rd
Suite C
Harrisburg, PA 17112-1793

Mailing address

915 N Mountain Rd
Suite C
Harrisburg, PA 17112-1793
Phone (717) 652-5550

National Provider Directory

National Provider Directory

Locations

915 N Mountain Rd
Ste C
Harrisburg, PA 17112
Phone (717) 651-7788

NPI Registry JSON

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1265670996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 N MOUNTAIN RD",
            "address_2": "SUITE C",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121793",
            "telephone_number": "717-652-5550",
            "fax_number": "717-652-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N MOUNTAIN RD",
            "address_2": "SUITE C",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121793",
            "telephone_number": "717-652-5550",
            "fax_number": "717-652-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SHORE MEDICAL & PAIN MANAGEMENT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "BOLAND",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-652-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "2081N0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "PA",
            "license": "DC003322L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.