Organization Active NPI

Boiling Springs Family Medicine

  • Medical Physician Assistant
  • Boiling Springs, PA
National Provider Identifier
1295163095
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA054371 Issued in PA
Legal business name
BOILING SPRINGS FAMILY MEDICINE
Practice address
210 Forge Rd
Suite 2
Boiling Springs, PA 17007-9787
Phone
(717) 249-8300
Fax
(717) 249-8301
NPI assigned
Oct 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

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

Authorized official

Name
Chad Jumper, MD
Title
Physician
Phone
(717) 249-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X MA054371 PA Primary

Addresses

Primary practice location

210 Forge Rd
Suite 2
Boiling Springs, PA 17007-9787

Mailing address

210 Forge Rd
Suite 2
Boiling Springs, PA 17007-9787
Phone (717) 249-8300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381795200000",
    "number": "1295163095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 FORGE RD",
            "address_2": "SUITE 2",
            "city": "BOILING SPRINGS",
            "state": "PA",
            "postal_code": "170079787",
            "telephone_number": "717-249-8300",
            "fax_number": "717-249-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 FORGE RD",
            "address_2": "SUITE 2",
            "city": "BOILING SPRINGS",
            "state": "PA",
            "postal_code": "170079787",
            "telephone_number": "717-249-8300",
            "fax_number": "717-249-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOILING SPRINGS FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-15",
        "last_updated": "2013-10-15",
        "status": "A",
        "authorized_official_last_name": "JUMPER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "717-249-8300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA054371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boiling Springs, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.