Pine Grove Internal Medicine, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD034489E Issued in PA

Legal business name

PINE GROVE INTERNAL MEDICINE, INC.

Practice address

1938 Security Dr
York, PA 17402-4727

Phone

(717) 741-5600

Fax

(717) 741-6750

NPI assigned

Sep 1, 2006

Last updated

Feb 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paula A Jacobus, M.D.

Title

Physician

Phone

(717) 741-5600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296777600000",
    "number": "1417059619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1938 SECURITY DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024727",
            "telephone_number": "717-741-5600",
            "fax_number": "717-741-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1938 SECURITY DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024727",
            "telephone_number": "717-741-5600",
            "fax_number": "717-741-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE GROVE INTERNAL MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2011-02-04",
        "status": "A",
        "authorized_official_last_name": "JACOBUS",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "717-741-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD034489E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanine Pickett
• Linda Pierce
• Nadj Levi Pierre, MD
• William Robert Pilkey Jr., PA-C
• Jefferson Ander Pindzola, MD
• Cynthia Vivianna Pineda
• Anthony Pinkney
• Pinnacle Health Medical Services (UPMC Neonatology Services)
• Pinnacle Health Medical Services (UPMC Yorktowne Urology)
• Pinnacle Health Medical Services (UPMC Obstetrics & Gynecology Specialists-York)

• Internal Medicine Physician in York, PA
• Providers in York, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.