Spirit Physician Services, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SPIRIT PHYSICIAN SERVICES, INC.

Practice address

1358 Lutztown Rd
Boiling Springs, PA 17007-9302

Phone

(717) 972-7917

Fax

(717) 972-4470

NPI assigned

Jul 25, 2014

Organization subpart

No

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

Authorized official

Name

Donald Bruce Haga

Title

President

Phone

(717) 972-4480

Specialties & licenses 1

Addresses

Other names 1

• Yellow Breeches Family Health Center Doing business as

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1588072383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 GRANDVIEW AVE",
            "address_2": "SUITE 210",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1358 LUTZTOWN RD",
            "city": "BOILING SPRINGS",
            "state": "PA",
            "postal_code": "170079302",
            "telephone_number": "717-972-7917",
            "fax_number": "717-972-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRIT PHYSICIAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "HAGA",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-972-4480"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yellow Breeches Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kyrena Robinson, PHD, BCHN
• Donald Kistler Roeder, MD
• Michelle Sanford, RDN, LDN
• Aubrey L. Shenk, M.A.
• South Middleton School District
• Janice Susi, OTR/L
• Daniel Syrianos-Robertson, DDS
• Travis W Treadway, M.D.
• Rise Jayne Vanfleet, PH.D.
• Kimberly Ann Werner, RPH

• Family Medicine Physician in Boiling Springs, PA
• Providers in Boiling Springs, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; 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.