Yellow Breeches Family Practice Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

YELLOW BREECHES FAMILY PRACTICE CENTER

Practice address

1358 Lutztown Rd
Boiling Springs, PA 17007-9302

Phone

(717) 258-3274

Fax

(717) 258-0311

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Donald J Kovacs, MD

Title

Partner

Phone

(717) 258-3274

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1356374037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1358 LUTZTOWN RD",
            "city": "BOILING SPRINGS",
            "state": "PA",
            "postal_code": "170079302",
            "telephone_number": "717-258-3274",
            "fax_number": "717-258-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1358 LUTZTOWN RD",
            "city": "BOILING SPRINGS",
            "state": "PA",
            "postal_code": "170079302",
            "telephone_number": "717-258-3274",
            "fax_number": "717-258-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELLOW BREECHES FAMILY PRACTICE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "KOVACS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "717-258-3274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "153146",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02483200",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rise Jayne Vanfleet, PH.D.
• Kimberly Ann Werner, RPH
• Benjamin L Widder, ATC
• Casey Jon Williams, DMD
• Bradford J Wood, M.D.

• Family Medicine Physician in Boiling Springs, PA
• Providers in Boiling Springs, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.