Justine Okurowski

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA057446 Issued in PA

Practice address

1995 Technology Pkwy
Mechanicsburg, PA 17050-8522

Phone

(717) 231-8772

Fax

(717) 231-8435

NPI assigned

Jan 23, 2015

Last updated

Dec 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: jokurowski10099@phsdirect.pinnaclehealth.org

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1548650989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 TRINDLE RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114413",
            "telephone_number": "717-412-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 TECHNOLOGY PKWY",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170508522",
            "telephone_number": "717-231-8772",
            "fax_number": "717-231-8435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3301 Trindle Rd",
            "address_purpose": "LOCATION",
            "city": "Camp Hill",
            "state": "PA",
            "postal_code": "170114413",
            "country_code": "US",
            "telephone_number": "717-412-7859",
            "fax_number": "717-965-3214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4510 Marketplace Way",
            "address_purpose": "LOCATION",
            "city": "Enola",
            "state": "PA",
            "postal_code": "170252458",
            "country_code": "US",
            "telephone_number": "717-547-6108",
            "fax_number": "717-547-6189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKUROWSKI",
        "first_name": "JUSTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-23",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA057446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103157963",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jokurowski10099@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "3301 Trindle Rd",
            "city": "Camp Hill",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170114413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physician Assistant in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.

Verify at the official NPI Registry.