Organization Active NPI

Lewistown Surgical Associates, Inc.

  • Surgery Physician
  • Lewistown, PA
National Provider Identifier
1366697997
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD014258E Issued in PA
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

Updated by the provider on Mar 6, 2009

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
50083033OtherPACAPITAL BLUE CROSS
002078448OtherPAHIGHMARK BLUE CROSS

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.