NPIMap

Organization Active NPI

Penn Surgery Institute

  • Ambulatory Surgical Clinic/Center
  • Lancaster, PA
National Provider Identifier
1588609986
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
10651500 Issued in PA
Legal business name
PENN SURGERY INSTITUTE
Practice address
554 N Duke St
Lancaster, PA 17602-2225
Phone
(717) 299-3524
Fax
(717) 299-3552
NPI assigned
Jun 19, 2006
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
Robert Mathews, MDNPI 1629005046
Title
Medical Director
Phone
(717) 299-3524

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 10651500 PA Primary

Addresses

Primary practice location

554 N Duke St
Lancaster, PA 17602-2225

Mailing address

554 N Duke St
Lancaster, PA 17602-2225
Phone (717) 299-3524

Other identifiers 1

IdentifierTypeStateIssuer
10651500OtherPASTATE LICENSE NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588609986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022225",
            "telephone_number": "717-299-3524",
            "fax_number": "717-299-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022225",
            "telephone_number": "717-299-3524",
            "fax_number": "717-299-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN SURGERY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "717-299-3524",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "10651500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "10651500",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, 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.