Organization Active NPI

Surgical Physicians, P.C.

  • Surgery Physician
  • Harrisburg, PA
National Provider Identifier
1477565968
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD044322L Issued in PA
Legal business name
SURGICAL PHYSICIANS, P.C.
Practice address
891 S Arlington Ave
Harrisburg, PA 17109-5004
Phone
(717) 233-9093
Fax
(717) 233-6387
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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

Authorized official

Name
Mrs. Jacquelyn S. Frazier
Title
Billing Supervisor
Phone
(717) 838-6462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MD044322L PA Primary

Addresses

Primary practice location

891 S Arlington Ave
Harrisburg, PA 17109-5004

Mailing address

891 S Arlington Ave
Harrisburg, PA 17109-5004
Phone (717) 233-9093

Other identifiers 3

IdentifierTypeStateIssuer
01076301OtherPACAPITAL BLUE CROSS
026072OtherPAHIGHMARK BLUE SHIELD
0006589990002MedicaidPA

National Provider Directory

National Provider Directory

Locations

4310 Londonderry Rd
Ste 3
Harrisburg, PA 17109
Phone (717) 920-4330

4301 Londonderry Rd
Ste 3
Harrisburg, PA 17109
Phone (717) 920-4330

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1477565968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 S ARLINGTON AVE",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095004",
            "telephone_number": "717-233-9093",
            "fax_number": "717-233-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 S ARLINGTON AVE",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095004",
            "telephone_number": "717-233-9093",
            "fax_number": "717-233-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL PHYSICIANS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "717-838-6462",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD044322L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "01076301",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "026072",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006589990002",
            "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 Jun 10, 2009; 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.