Medical Athletic Center, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

PAMD06549L Issued in PA

Legal business name

MEDICAL ATHLETIC CENTER, LLC

Practice address

1785 Loucks Rd
York, PA 17408-9710

Phone

(717) 767-4151

Fax

(717) 767-2023

NPI assigned

Mar 13, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Kevin OwensNPI 1457376709

Title

President

Phone

(717) 767-4151

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Blake Owens, D.C.

  • Chiropractor
  • York, PA
  • NPI 1457376709
  NPD (past) Authorized official

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1265773410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 STONEY POINT RD",
            "city": "EAST BERLIN",
            "state": "PA",
            "postal_code": "173169710",
            "telephone_number": "717-767-4151",
            "fax_number": "717-767-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 LOUCKS RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174089710",
            "telephone_number": "717-767-4151",
            "fax_number": "717-767-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ATHLETIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-767-4151",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "PA",
            "license": "PAMD06549L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler William Mead, DDS
• Thomas Meckley
• David Augustine Medcalf
• Medexpress Urgent Care, PC - Pennsylvania (MedExpress Urgent Care - York)
• Medical Athletic Center LLC
• Medical Staffing Network, Inc. (Nurses Plus)
• Kreisha Medina-Rodriguez
• Luis Medina
• Nyida Medina, CRNP
• Shonareesa Rholencia Medley Cook, CRT

• General Practice Physician in York, PA
• Providers in York, PA by specialty
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.