Organization Active NPI

Bruce D Klaskin DO Faapmr Facpm PC

  • Physical Medicine & Rehabilitation Physician
  • York, PA
National Provider Identifier
1356487805
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
BRUCE D KLASKIN DO FAAPMR FACPM PC
Practice address
1030 Plymouth Rd
York, PA 17402-3862
Phone
(717) 845-1553
Fax
(717) 845-3995
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Authorized official

Name
Dr. Bruce D Klaskin, D.O.
Title
Physician
Phone
(717) 845-1553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1030 Plymouth Rd
York, PA 17402-3862

Mailing address

PO Box 175
Northumberland, PA 17857-0175
Phone (570) 988-0925

Other identifiers 1

IdentifierTypeStateIssuer
0007241900002MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1356487805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 175",
            "city": "NORTHUMBERLAND",
            "state": "PA",
            "postal_code": "178570175",
            "telephone_number": "570-988-0925",
            "fax_number": "570-988-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 PLYMOUTH RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174023862",
            "telephone_number": "717-845-1553",
            "fax_number": "717-845-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE D KLASKIN DO FAAPMR FACPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "KLASKIN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "717-845-1553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007241900002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.