Organization Active NPI

Summit Emg Associates, PLLC

  • Neurology Chiropractor
  • Mechanicsburg, PA
National Provider Identifier
1366908808
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
Legal business name
SUMMIT EMG ASSOCIATES, PLLC
Practice address
1300 Bent Creek Blvd
Mechanicsburg, PA 17050-1871
Phone
(717) 706-3477
Fax
(717) 706-3476
NPI assigned
Feb 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Authorized official

Name
Michael Shaft, DC
Title
Insurance Coordinator
Phone
(717) 460-7712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN0400X Primary

Addresses

Primary practice location

1300 Bent Creek Blvd
Mechanicsburg, PA 17050-1871

Mailing address

216 Hope Dr
Boiling Springs, PA 17007-9584
Phone (570) 332-5026

Other identifiers 2

IdentifierTypeStateIssuer
1023102233OtherINDIVIDUAL NPI
WE96128OtherPAHIGHMARK BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1366908808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 HOPE DR",
            "city": "BOILING SPRINGS",
            "state": "PA",
            "postal_code": "170079584",
            "telephone_number": "570-332-5026",
            "fax_number": "717-706-3476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BENT CREEK BLVD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170501871",
            "telephone_number": "717-706-3477",
            "fax_number": "717-706-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT EMG ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "SHAFT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "717-460-7712",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1023102233",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "WE96128",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.