NPIMap

Organization Active NPI

Phoenix Wellness and Physical Restoration Center, PLLC

  • Obstetrics & Gynecology Physician
  • Chambersburg, PA
National Provider Identifier
1659699510
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
PHOENIX WELLNESS AND PHYSICAL RESTORATION CENTER, PLLC
Practice address
1124 Kennebec Drive
Chambersburg, PA 17201
Phone
(717) 263-8919
Fax
(717) 263-2655
NPI assigned
May 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Authorized official

Name
Shari Myers
Title
Office Manager
Phone
(717) 263-8919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1124 Kennebec Drive
Chambersburg, PA 17201

Mailing address

1124 Kennebec Drive
Chambersburg, PA 17201
Phone (717) 263-8919

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1659699510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 KENNEBEC DRIVE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "17201",
            "telephone_number": "717-263-8919",
            "fax_number": "717-263-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 KENNEBEC DRIVE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "17201",
            "telephone_number": "717-263-8919",
            "fax_number": "717-263-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX WELLNESS AND PHYSICAL RESTORATION CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-17",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "717-263-8919"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 6, 2011; 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.