Gentle Laser Skin Care Center Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MD040452E Issued in PA

Legal business name

GENTLE LASER SKIN CARE CENTER INC

Practice address

1700 E Main St
Waynesboro, PA 17268-1877

Phone

(717) 749-7546

Fax

(717) 788-4828

NPI assigned

Oct 9, 2008

Last updated

Feb 5, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Elena Maria Kehoe, RN

Title

Director

Phone

(717) 749-7546

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1659522415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E MAIN ST",
            "city": "WAYNESBORO",
            "state": "PA",
            "postal_code": "172681877",
            "telephone_number": "717-749-7546",
            "fax_number": "717-788-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E MAIN ST",
            "city": "WAYNESBORO",
            "state": "PA",
            "postal_code": "172681877",
            "telephone_number": "717-749-7546",
            "fax_number": "717-788-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE LASER SKIN CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "KEHOE",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "717-749-7546",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "MD040452E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly J Funk, COTA/L
• Gary L. Gallo, M.D.
• Rebecca Leigh Garner
• Karen E. Garrison, D.D.S.
• Tyler S Geesaman
• Marjorie Regina Gold, D.O.
• Robert Franklin Goldman, M.D.
• Alexandra Gonsor, CLD
• Thomas Gossert, PHARMD
• Greenleaf Counseling Center LLC

• Clinic/Center in Waynesboro, PA
• Providers in Waynesboro, PA by specialty
• Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.