Active NPI
Dennis E Line, M.D
- Cardiovascular Disease Physician
- Wormleysburg, PA
National Provider Identifier
1437150372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD0016090E
- Practice address
- 1000 N Front St
Suite 200
Wormleysburg, PA 17043-1034 - Phone
- (717) 731-0101
- Fax
- (717) 441-0592
- NPI assigned
- Aug 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD0016090E | PA | Primary |
Addresses
Primary practice location
1000 N Front St
Suite 200
Wormleysburg, PA 17043-1034
Mailing address
409 S 2ND St Ste 2F
Harrisburg, PA 17104-1612
Phone (717) 231-8937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006563680001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0016090E | PA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moffitt Heart and Vascular Group Inc. | Cardiovascular Disease | Past | Accepting new patients |
| Cumberland Pathology Associates, LLC | Past | Accepting new patients | |
| Cardiology Diagnostic Associates, LLC | Cardiovascular Disease | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Middletown, PA
- NPI 1750345948
-
- Anatomic Pathology Physician
- Carlisle, PA
- NPI 1386695666
-
- Cardiovascular Disease Physician
- Wormleysburg, PA
- NPI 1083616437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509494400000",
"number": "1437150372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 S 2ND ST STE 2F",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041612",
"telephone_number": "717-231-8937",
"fax_number": "717-231-8588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N FRONT ST",
"address_2": "SUITE 200",
"city": "WORMLEYSBURG",
"state": "PA",
"postal_code": "170431034",
"telephone_number": "717-731-0101",
"fax_number": "717-441-0592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINE",
"first_name": "DENNIS",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2017-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD0016090E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006563680001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wormleysburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.