Organization Active NPI

McSherrystown Family Practice PC

  • Family Medicine Physician
  • McSherrystown, PA
National Provider Identifier
1568400406
Registry record updated May 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MCSHERRYSTOWN FAMILY PRACTICE PC
Practice address
70 Academy St
MC Sherrystown, PA 17344-2116
Phone
(717) 637-4188
Fax
(717) 637-7803
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2010

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

Authorized official

Name
Dr. Russell C Hess, D.O.
Title
President
Phone
(717) 637-4188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

70 Academy St
MC Sherrystown, PA 17344-2116

Mailing address

70 Academy St
MC Sherrystown, PA 17344-2116
Phone (717) 637-4188

Other identifiers 3

IdentifierTypeStateIssuer
582297OtherPAMEDICARE LEGACY NUMBER
1243569MedicaidPA
1596587MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1568400406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 ACADEMY ST",
            "city": "MC SHERRYSTOWN",
            "state": "PA",
            "postal_code": "173442116",
            "telephone_number": "717-637-4188",
            "fax_number": "717-637-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 ACADEMY ST",
            "city": "MC SHERRYSTOWN",
            "state": "PA",
            "postal_code": "173442116",
            "telephone_number": "717-637-4188",
            "fax_number": "717-637-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCSHERRYSTOWN FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-637-4188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "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": "MEDICARE LEGACY NUMBER",
            "identifier": "582297",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1243569",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1596587",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McSherrystown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; 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.