Organization Active NPI

East Shore Oncology PC

  • Hematology & Oncology Physician
  • Harrisburg, PA
National Provider Identifier
1457328668
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD031315E Issued in PA
Legal business name
EAST SHORE ONCOLOGY PC
Practice address
750 E Park Dr
Harrisburg, PA 17111-2758
Phone
(717) 558-7350
Fax
(717) 558-7353
NPI assigned
Mar 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Mrs. Ronda L. Thomas
Title
Office Manager
Phone
(717) 558-7350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X MD031315E PA Primary

Addresses

Primary practice location

750 E Park Dr
Harrisburg, PA 17111-2758

Mailing address

750 E Park Dr
Harrisburg, PA 17111-2758
Phone (717) 558-7350

Other identifiers 7

IdentifierTypeStateIssuer
02440100OtherPAKEYSTONE CENTRAL
02440100OtherPASENIOR BLUE
0010993580002MedicaidPA
472428OtherPAAETNA
7195254OtherPAGATEWAY
02440100OtherPACAPITAL BLUE CROSS
73750OtherPAHEALTH AMERICA

National Provider Directory

National Provider Directory

Locations

750 E Park Dr
Harrisburg, PA 17111
Phone (717) 558-7350

750 E Park Dr
Fl 2
Harrisburg, PA 17111
Phone (717) 558-7350

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1457328668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E PARK DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171112758",
            "telephone_number": "717-558-7350",
            "fax_number": "717-558-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E PARK DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171112758",
            "telephone_number": "717-558-7350",
            "fax_number": "717-558-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SHORE ONCOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "RONDA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "717-558-7350",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD031315E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE CENTRAL",
            "identifier": "02440100",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENIOR BLUE",
            "identifier": "02440100",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010993580002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "472428",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "7195254",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02440100",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "73750",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.