Active NPI
Lewistown Surgical Associates, Inc.
- Surgery Physician
- Lewistown, PA
National Provider Identifier
1366697997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD014258E
- Legal business name
- LEWISTOWN SURGICAL ASSOCIATES, INC.
- Practice address
- 18 N Main St
Lewistown, PA 17044-1745 - Phone
- (717) 994-7936
- NPI assigned
- Nov 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Martin J Fleishman, MD
- Title
- Owner
- Phone
- (717) 994-7936
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD014258E | PA | Primary |
Addresses
Primary practice location
18 N Main St
Lewistown, PA 17044-1745
Mailing address
PO Box 297
Boalsburg, PA 16827-0297
Phone (814) 235-3051
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50083033 | Other | PA | CAPITAL BLUE CROSS |
| 002078448 | Other | PA | HIGHMARK BLUE CROSS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236297600000",
"number": "1366697997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 297",
"city": "BOALSBURG",
"state": "PA",
"postal_code": "168270297",
"telephone_number": "814-235-3051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 N MAIN ST",
"city": "LEWISTOWN",
"state": "PA",
"postal_code": "170441745",
"telephone_number": "717-994-7936"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEWISTOWN SURGICAL ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-24",
"last_updated": "2009-03-06",
"status": "A",
"authorized_official_last_name": "FLEISHMAN",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "717-994-7936",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "PA",
"license": "MD014258E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50083033",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE CROSS",
"identifier": "002078448",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewistown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.