Organization Active NPI

Plastic Surgery, PC

  • Plastic Surgery Physician
  • Camp Hill, PA
National Provider Identifier
1578563227
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD017849E Issued in PA
Legal business name
PLASTIC SURGERY, PC
Practice address
3438 Trindle Rd
Camp Hill, PA 17011-4450
Phone
(717) 763-4888
Fax
(717) 763-1749
NPI assigned
Jul 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Samir J. Srouji, MD
Title
President
Phone
(717) 763-4888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X MD017849E PA Primary

Addresses

Primary practice location

3438 Trindle Rd
Camp Hill, PA 17011-4450

Mailing address

3438 Trindle Rd
Camp Hill, PA 17011-4450
Phone (717) 763-4888

National Provider Directory

National Provider Directory

Locations

3438 Trindle Rd
Camp Hill, PA 17011
Phone (717) 763-4888

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578563227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3438 TRINDLE RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114450",
            "telephone_number": "717-763-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3438 TRINDLE RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114450",
            "telephone_number": "717-763-4888",
            "fax_number": "717-763-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SROUJI",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-763-4888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD017849E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, 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.

Verify at the official NPI Registry.