Organization Active NPI

Peter J. Sakol MD LLC

  • Ophthalmology Physician
  • Mechanicsburg, PA
National Provider Identifier
1336353192
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD041584L Issued in PA
Legal business name
PETER J. SAKOL MD LLC
Practice address
2025 Technology Pkwy
Suite 204
Mechanicsburg, PA 17050-9400
Phone
(717) 732-9000
Fax
(717) 732-9011
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Peter J Sakol, MDNPI 1336226141
Title
Owner
Phone
(717) 732-9000

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
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X MD041584L PA Primary

Addresses

Primary practice location

2025 Technology Pkwy
Suite 204
Mechanicsburg, PA 17050-9400

Mailing address

2025 Technology Pkwy
Suite 204
Mechanicsburg, PA 17050-9400
Phone (717) 732-9000

Other identifiers 2

IdentifierTypeStateIssuer
03064400OtherPACAPITAL BLUE CROSS ID
0684011OtherPAHIGHMARK BLUE SHIELD ID

National Provider Directory

National Provider Directory

Locations

2025 Technology Pkwy
Ste 205
Mechanicsburg, PA 17050
Phone (717) 732-9000

2025 Technology Pkwy
Ste 204
Mechanicsburg, PA 17050
Phone (717) 732-9000

Practitioners & affiliated clinicians

Practitioners 3

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": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336353192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 TECHNOLOGY PKWY",
            "address_2": "SUITE 204",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170509400",
            "telephone_number": "717-732-9000",
            "fax_number": "717-732-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 TECHNOLOGY PKWY",
            "address_2": "SUITE 204",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170509400",
            "telephone_number": "717-732-9000",
            "fax_number": "717-732-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER J. SAKOL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAKOL",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-732-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD041584L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS ID",
            "identifier": "03064400",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD ID",
            "identifier": "0684011",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.