Active NPI
East Shore Medical & Pain Management PC
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
- Harrisburg, PA
National Provider Identifier
1265670996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
- License
- DC003322L
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | 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 DirectoryLocations
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.