Excellence Diabetes Endocrinology & Metabolism Center LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

MD432714 Issued in PA

Legal business name

EXCELLENCE DIABETES ENDOCRINOLOGY & METABOLISM CENTER LLC

Practice address

1000 N Front St
Suite 400
Wormleysburg, PA 17043-1034

Phone

(717) 695-6741

Fax

(717) 695-6768

NPI assigned

May 9, 2009

Organization subpart

No

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

Authorized official

Name

Wilfred M Victorina, MD

Title

Owner

Phone

(859) 496-1803

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1241827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1295969913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N FRONT ST",
            "address_2": "SUITE 400",
            "city": "WORMLEYSBURG",
            "state": "PA",
            "postal_code": "170431034",
            "telephone_number": "717-695-6741",
            "fax_number": "717-695-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N FRONT ST",
            "address_2": "SUITE 400",
            "city": "WORMLEYSBURG",
            "state": "PA",
            "postal_code": "170431034",
            "telephone_number": "717-695-6741",
            "fax_number": "717-695-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENCE DIABETES ENDOCRINOLOGY & METABOLISM CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-09",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "VICTORINA",
        "authorized_official_first_name": "WILFRED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-496-1803",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD432714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Otilia Embale
• Craig Ernst, PA
• Paul Edward Eschbach, BCBA
• Samantha Esper
• Gerald Everette III
• Caitlynn Farley
• Summer Field, BCBA
• Caitlyn Findley, BCBA
• Samantha Fisher
• Elizabeth Flowers

• Endocrinology, Diabetes & Metabolism Physician in Wormleysburg, PA
• Providers in Wormleysburg, PA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.