Individual provider Active NPI

Sarah Surgeoner, PA-C

  • Physician Assistant
  • York, PA
National Provider Identifier
1316506918
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA060783 Issued in PA
Practice address
1500 Memory Lane Ext
York, PA 17402-9601
Phone
(717) 757-5433
NPI assigned
Jun 7, 2019
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA005448 PA
Physician Assistant 363A00000X MA060783 PA Primary
Medical Physician Assistant 363AM0700X MA060783 PA

Addresses

Primary practice location

1500 Memory Lane Ext
York, PA 17402-9601

Mailing address

1500 Memory Lane Ext
York, PA 17402-9601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191231001446 PA Practitioner - Physician Assistant 1254765134 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chestnut Hill Clinic Company, LLC CurrentSince Jan 19, 2022 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Dec 12, 2023 Accepting new patients
Einstein Practice Plan Inc CurrentSince Nov 6, 2019 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Dec 12, 2023 Accepting new patients
Chestnut Hill Clinic Company, LLC CurrentSince Jan 19, 2022 Accepting new patients
Temple Faculty Practice Plan Inc Past Accepting new patients
Einstein Practice Plan Inc Past Accepting new patients

Locations

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

8200 Flourtown Ave
Ste 2
Wyndmoor, PA 19038
Phone (215) 836-5100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1267/brand/2/csg/121/fhir/r4

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1316506918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MEMORY LANE EXT",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MEMORY LANE EXT",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029601",
            "telephone_number": "717-757-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURGEONER",
        "first_name": "SARAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA005448",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA060783",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA060783",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.