Organization Active NPI

Mua Associates of Pennsylvania

  • Multi-Specialty Clinic/Center
  • East Earl, PA
National Provider Identifier
1598971251
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MUA ASSOCIATES OF PENNSYLVANIA
Practice address
4605 Division Hwy
East Earl, PA 17519
Phone
(717) 355-2940
Fax
(717) 355-2940
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Authorized official

Name
Dr. Daniel Thoedore West, DC RCRD FABCS FRCCM
Title
Corporate Officer
Phone
(717) 355-2940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

4605 Division Hwy
East Earl, PA 17519

Mailing address

4605 Division Hwy
East Earl, PA 17519
Phone (717) 355-2940

Other identifiers 1

IdentifierTypeStateIssuer
1699148OtherPAHIGHMARK BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

4605 Division Hwy
East Earl, PA 17519
Phone (717) 355-2940

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1598971251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 DIVISION HWY",
            "city": "EAST EARL",
            "state": "PA",
            "postal_code": "17519",
            "telephone_number": "717-355-2940",
            "fax_number": "717-355-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 DIVISION HWY",
            "city": "EAST EARL",
            "state": "PA",
            "postal_code": "17519",
            "telephone_number": "717-355-2940",
            "fax_number": "717-355-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUA ASSOCIATES OF PENNSYLVANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "THOEDORE",
        "authorized_official_title_or_position": "CORPORATE OFFICER",
        "authorized_official_telephone_number": "717-355-2940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC RCRD FABCS FRCCM"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1699148",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Earl, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.