Active NPI
Michael Jerome Page, MD
- Surgery Physician
- Lemoyne, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD022869E
- Practice address
- 3 Walnut St Ste 100
Lemoyne, PA 17043 - Phone
- (717) 761-4141
- Fax
- (717) 761-1456
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD022869E | PA | Primary |
Addresses
Primary practice location
3 Walnut St Ste 100
Lemoyne, PA 17043
Mailing address
3 Walnut St Ste 100
Lemoyne, PA 17043-1168
Other practice location 1
2501 N 3rd St Fl 2
Harrisburg, PA 17110-1904
Phone (717) 782-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000665895 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mpage7094@phsdirect.pinnaclehealth.org |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100318000052 | PA | Practitioner - General Surgery | 3173609005 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Surgery | Current | Accepting new patients |
Locations
207 House Ave
Ste 101
Camp Hill, PA 17011
Phone (717) 761-8331
409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
4310 Londonderry Rd
Ste 1
Harrisburg, PA 17109
Phone (717) 561-4242
532 N Front St
Wormleysburg, PA 17043
Phone (717) 761-4141
3 Walnut St
Ste 100
Wormleysburg, PA 17043
Phone (717) 737-3037
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
PA, Surgery
-
- Pediatrics Physician
- Harrisburg, PA
- NPI 1093854077
-
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618444800000",
"number": "1346200318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 WALNUT ST STE 100",
"city": "LEMOYNE",
"state": "PA",
"postal_code": "170431168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 WALNUT ST STE 100",
"city": "LEMOYNE",
"state": "PA",
"postal_code": "17043",
"telephone_number": "717-761-4141",
"fax_number": "717-761-1456"
}
],
"practiceLocations": [
{
"address_1": "2501 N 3rd St Fl 2",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171101904",
"country_code": "US",
"telephone_number": "717-782-2100",
"fax_number": "717-782-2121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAGE",
"first_name": "MICHAEL",
"middle_name": "JEROME",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2021-04-15",
"certification_date": "2021-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD022869E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000665895",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mpage7094@phsdirect.pinnaclehealth.org",
"affiliation": "N",
"address_1": "3 Walnut St Ste 100",
"city": "Lemoyne",
"state": "PA",
"country_code": "US",
"postal_code": "17043",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lemoyne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.