Active NPI
Queen Street Family Practice PC
- Family Medicine Physician
- York, PA
National Provider Identifier
1487627857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- QUEEN STREET FAMILY PRACTICE PC
- Practice address
- 2471 S Queen St
York, PA 17402-4947 - Phone
- (717) 741-3888
- Fax
- (717) 741-3709
- NPI assigned
- Feb 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Robert Higgins, DO
- Title
- President
- Phone
- (717) 741-3888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2471 S Queen St
York, PA 17402-4947
Mailing address
2471 S Queen St
York, PA 17402-4947
Phone (717) 741-3888
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02739200 | Other | PA | CAPITOL BLUE CROSS |
| L0472628 | Other | PA | PA BLUE SHIELD |
| 0010615660001 | Medicaid | PA | |
| 4I4T2629 | Other | PA | PA BLUE SHIELD |
| 0010615750001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1487627857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2471 S QUEEN ST",
"city": "YORK",
"state": "PA",
"postal_code": "174024947",
"telephone_number": "717-741-3888",
"fax_number": "717-741-3709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2471 S QUEEN ST",
"city": "YORK",
"state": "PA",
"postal_code": "174024947",
"telephone_number": "717-741-3888",
"fax_number": "717-741-3709"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUEEN STREET FAMILY PRACTICE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HIGGINS",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "717-741-3888",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITOL BLUE CROSS",
"identifier": "02739200",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA BLUE SHIELD",
"identifier": "L0472628",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010615660001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA BLUE SHIELD",
"identifier": "4I4T2629",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010615750001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in York, PA
Sources for this page
- 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.