Active NPI
White Rose Surgical Associates LTD
- Surgery Physician
- York, PA
National Provider Identifier
1295743243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- WHITE ROSE SURGICAL ASSOCIATES LTD
- Practice address
- 1601 South Queen Street
York, PA 17403 - Phone
- (717) 848-2067
- Fax
- (717) 848-2074
- NPI assigned
- Aug 4, 2006
- 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
- Mr. Samuel Simon Laucks II, MD
- Title
- President
- Phone
- (717) 848-2067
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary | ||
| Colon & Rectal Surgery Physician | 208C00000X |
Addresses
Primary practice location
1601 South Queen Street
York, PA 17403
Mailing address
1601 South Queen Street
York, PA 17403
Phone (717) 848-2067
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02578700 | Other | PA | BLUE CROSS |
| 602560 | Other | PA | BLUE SHIELD |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1154649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209513600000",
"number": "1295743243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 SOUTH QUEEN STREET",
"city": "YORK",
"state": "PA",
"postal_code": "17403",
"telephone_number": "717-848-2067",
"fax_number": "717-848-2074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 SOUTH QUEEN STREET",
"city": "YORK",
"state": "PA",
"postal_code": "17403",
"telephone_number": "717-848-2067",
"fax_number": "717-848-2074"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITE ROSE SURGICAL ASSOCIATES LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-04",
"last_updated": "2008-04-30",
"status": "A",
"authorized_official_last_name": "LAUCKS",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "SIMON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "717-848-2067",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "208C00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Colon & Rectal Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "02578700",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "602560",
"state": "PA"
}
],
"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 Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.