Upmc-Arlington Orthopedic Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

UPMC-ARLINGTON ORTHOPEDIC SURGERY CENTER LLC

Practice address

1079 E Park Dr
Harrisburg, PA 17111-2812

Phone

(171) 586-7513

NPI assigned

Apr 19, 2024

Organization subpart

No

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

Authorized official

Name

John Grandrimo, DO

Title

Chief Executive Officer

Phone

(717) 586-7513

Specialties & licenses 1

Addresses

Other names 1

• Capital Orthopedic Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Ambulatory surgical center certification: CCN 39C0001394

Legal name

Capital Orthopedic Surgery Center

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Dec 31, 2024

Last certification

Dec 31, 2024

Facility address

1079 East Park Drive
Harrisburg, PA 17111

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott GM King, D.O.

  • Orthopaedic Surgery Physician
  • Harrisburg, PA
  • NPI 1720082761
  NPD (past)

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1407601800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 E PARK DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171112812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 E PARK DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171112812",
            "telephone_number": "171-586-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC-ARLINGTON ORTHOPEDIC SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "GRANDRIMO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "717-586-7513",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital Orthopedic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Capital Orthopedic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulatory Surgical Clinic/Center in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.