Organization Active NPI

Chambersburg Endoscopy Center LLC

  • Endoscopy Clinic/Center
  • Chambersburg, PA
National Provider Identifier
1629013164
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
Legal business name
CHAMBERSBURG ENDOSCOPY CENTER LLC
Practice address
835 5TH Ave
Chambersburg, PA 17201-4224
Phone
(717) 217-4312
NPI assigned
Jun 18, 2006
Last updated
May 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2009

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

Authorized official

Name
Joyce Burkholder, BSN, RN
Title
Center Director
Phone
(717) 217-4328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X Primary

Addresses

Primary practice location

835 5TH Ave
Chambersburg, PA 17201-4224

Mailing address

835 5TH Ave
Chambersburg, PA 17201-4224
Phone (717) 217-4312

Other identifiers 1

IdentifierTypeStateIssuer
1016632160001MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1629013164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 5TH AVE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014224",
            "telephone_number": "717-217-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 5TH AVE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014224",
            "telephone_number": "717-217-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMBERSBURG ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "BURKHOLDER",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "CENTER DIRECTOR",
        "authorized_official_telephone_number": "717-217-4328",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016632160001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.