NPIMap

Organization Active NPI

Security Family Medicine, LLC

  • Family Medicine Physician
  • York, PA
National Provider Identifier
1285090951
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD066211L Issued in PA
Legal business name
SECURITY FAMILY MEDICINE, LLC
Practice address
1930 Security Dr
York, PA 17402-4727
Phone
(717) 741-4641
Fax
(717) 741-9198
NPI assigned
Jan 11, 2016
Last updated
Jan 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Authorized official

Name
Adrienne Johnson, MDNPI 1164597456
Title
Owner
Phone
(717) 741-4641

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD066211L PA Primary

Addresses

Primary practice location

1930 Security Dr
York, PA 17402-4727

Mailing address

1930 Security Dr
York, PA 17402-4727
Phone (717) 741-4641

National Provider Directory

National Provider Directory

Locations

1930 Security Dr
York, PA 17402
Phone (717) 741-4641

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20028/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1285090951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 SECURITY DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024727",
            "telephone_number": "717-741-4641",
            "fax_number": "717-741-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 SECURITY DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024727",
            "telephone_number": "717-741-4641",
            "fax_number": "717-741-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECURITY FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-741-4641",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD066211L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.