Wyntre Brook Surgical Associates, PC

Primary specialty

Trauma Surgery PhysicianTaxonomy code 2086S0127X

License

MD024908E Issued in PA

Legal business name

WYNTRE BROOK SURGICAL ASSOCIATES, PC

Practice address

1399 S Queen St
Lower Level
York, PA 17403-3840

Phone

(717) 812-2921

Fax

(717) 812-2921

NPI assigned

Aug 23, 2005

Organization subpart

No

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

Authorized official

Name

Nikhilesh Agarwal, MD

Title

Director/Active,Attending

Phone

(717) 812-2921

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Nikhileshwer Nath Agarwal, MD

  • Surgery Physician
  • Davidsonville, MD
  • NPI 1730172990
  NPD

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447243738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 S QUEEN ST",
            "address_2": "LOWER LEVEL",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033840",
            "telephone_number": "717-812-2921",
            "fax_number": "717-812-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 S QUEEN ST",
            "address_2": "LOWER LEVEL",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033840",
            "telephone_number": "717-812-2921",
            "fax_number": "717-812-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYNTRE BROOK SURGICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "NIKHILESH",
        "authorized_official_title_or_position": "DIRECTOR/ACTIVE,ATTENDING",
        "authorized_official_telephone_number": "717-812-2921",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": "PA",
            "license": "MD024908E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012711600001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bernard John Wujcik Jr., DDS
• Joseph T. Wunderlich, DC
• Akirah Wyatt, LCSW
• Kelli S Wynegar, CRNP
• Stephanie Lois Wynegar
• Wyntre Brooke Eye Associates, Inc.
• Christine Elizabeth Wzorek, PTA
• Sherif Yacoub, M.D.
• Elisabeth Yaelingh-Scoffins, PH.D.
• Deborah Ann Yambor, M.A.

• Trauma Surgery Physician in York, PA
• Providers in York, PA by specialty
• Trauma Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.