Active NPI
Ebh Northeast Services
Doing business as Clarity Way
- Addiction Medicine (Family Medicine) Physician
- Hanover, PA
National Provider Identifier
1487018180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- OS009643L
- Legal business name
- EBH NORTHEAST SERVICES
- Doing business as
- Clarity Way
- Practice address
- 544 Iron Ridge Rd
Hanover, PA 17331-6838 - Phone
- (615) 567-7256
- NPI assigned
- Apr 8, 2016
- Last updated
- Apr 8, 2016
- Organization subpart
- Yes
- Parent organization
- DAVID SACK MD TN PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cheryl Maplesden, CPC, CHC, CHPC
- Title
- Director, Revenue Cycle
- Phone
- (615) 510-3708
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | OS009643L | PA | Primary |
Addresses
Primary practice location
544 Iron Ridge Rd
Hanover, PA 17331-6838
Mailing address
PO Box 670600
Dallas, TX 75267-0600
Phone (615) 567-7256
Other names 1
- Clarity Way
National Provider Directory
National Provider DirectoryLocations
544 Iron Ridge Rd
Hanover, PA 17331
Phone (717) 225-3906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1460073600000",
"number": "1487018180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 670600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752670600",
"telephone_number": "615-567-7256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "544 IRON RIDGE RD",
"city": "HANOVER",
"state": "PA",
"postal_code": "173316838",
"telephone_number": "615-567-7256"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EBH NORTHEAST SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DAVID SACK MD TN PC",
"enumeration_date": "2016-04-08",
"last_updated": "2016-04-08",
"status": "A",
"authorized_official_last_name": "MAPLESDEN",
"authorized_official_first_name": "CHERYL",
"authorized_official_title_or_position": "DIRECTOR, REVENUE CYCLE",
"authorized_official_telephone_number": "615-510-3708",
"authorized_official_credential": "CPC, CHC, CHPC"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "PA",
"license": "OS009643L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Clarity Way",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hanover, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.