Active NPI
Craig Ernst, PA
- Medical Physician Assistant
- Wormleysburg, PA
National Provider Identifier
1366438301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA050834
- Practice address
- 1000 N Front St
Wormleysburg, PA 17043-1034 - Phone
- (717) 731-0101
- Fax
- (717) 441-0592
- NPI assigned
- Sep 26, 2005
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA050834 | PA | Primary |
Addresses
Primary practice location
1000 N Front St
Wormleysburg, PA 17043-1034
Mailing address
1000 N Front St
Wormleysburg, PA 17043-1034
Phone (717) 731-0101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA002972L | Other | PA | MEDICAL LIC # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA050834 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moffitt Heart and Vascular Group Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Wormleysburg, PA
- NPI 1083616437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288742400000",
"number": "1366438301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N FRONT ST",
"city": "WORMLEYSBURG",
"state": "PA",
"postal_code": "170431034",
"telephone_number": "717-731-0101",
"fax_number": "717-441-0592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N FRONT ST",
"city": "WORMLEYSBURG",
"state": "PA",
"postal_code": "170431034",
"telephone_number": "717-731-0101",
"fax_number": "717-441-0592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERNST",
"first_name": "CRAIG",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2010-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA050834",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LIC #",
"identifier": "MA002972L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wormleysburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.