Organization Active NPI

Ebh Northeast Services

Doing business as Clarity Way

  • Addiction Medicine (Family Medicine) Physician
  • Hanover, PA
National Provider Identifier
1487018180
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
OS009643L Issued in PA
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, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
DAVID SACK MD TN PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 8, 2016

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.