Organization Active NPI

Pennsylvania Neurosurgery and Neuroscience Institute, Inc.

  • Neurological Surgery Physician
  • Harrisburg, PA
National Provider Identifier
1659317766
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
047130L Issued in PA
Legal business name
PENNSYLVANIA NEUROSURGERY AND NEUROSCIENCE INSTITUTE, INC.
Practice address
4310 Londonderry Road
Suite 202
Harrisburg, PA 17109
Phone
(717) 920-7664
Fax
(717) 920-4361
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Authorized official

Name
Mrs. Tina Powers
Title
Practice Administrator
Phone
(717) 920-7664

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X 047130L PA Primary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X MD430341 PA
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X MD0706202L PA
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X MA054914 PA
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X MA003389L PA

Addresses

Primary practice location

4310 Londonderry Road
Suite 202
Harrisburg, PA 17109

Mailing address

4310 Londonderry Road
Suite 202
Harrisburg, PA 17109
Phone (717) 920-7664

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1659317766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 LONDONDERRY ROAD",
            "address_2": "SUITE 202",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "17109",
            "telephone_number": "717-920-7664",
            "fax_number": "717-920-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 LONDONDERRY ROAD",
            "address_2": "SUITE 202",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "17109",
            "telephone_number": "717-920-7664",
            "fax_number": "717-920-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA NEUROSURGERY AND NEUROSCIENCE INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "717-920-7664",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "047130L",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD430341",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD0706202L",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA054914",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA003389L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.