Organization Active NPI

Hummelstown Family Medicine, P.C.

  • General Practice Physician
  • Hummelstown, PA
National Provider Identifier
1275729576
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0S006156L Issued in PA
Legal business name
HUMMELSTOWN FAMILY MEDICINE, P.C.
Practice address
215 W Main St
Hummelstown, PA 17036-1420
Phone
(717) 566-8786
Fax
(717) 566-8702
NPI assigned
Sep 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Deanne S Endy, D.O.NPI 1609045228
Title
Owner/Doctor
Phone
(717) 566-8786

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 0S006156L PA Primary

Addresses

Primary practice location

215 W Main St
Hummelstown, PA 17036-1420

Mailing address

215 W Main St
Hummelstown, PA 17036-1420
Phone (717) 566-8786

Other identifiers 1

IdentifierTypeStateIssuer
01117545MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1275729576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W MAIN ST",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170361420",
            "telephone_number": "717-566-8786",
            "fax_number": "717-566-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W MAIN ST",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170361420",
            "telephone_number": "717-566-8786",
            "fax_number": "717-566-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMMELSTOWN FAMILY MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "ENDY",
        "authorized_official_first_name": "DEANNE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "717-566-8786",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PA",
            "license": "0S006156L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01117545",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hummelstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.