Active NPI
Plastic Surgery, PC
- Plastic Surgery Physician
- Camp Hill, PA
National Provider Identifier
1578563227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- MD017849E
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 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 DirectoryLocations
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.