Individual provider Active NPI

Eduardo Santiago Violago, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Harrisburg, PA
National Provider Identifier
1679540140
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD037744L Issued in PA
Practice address
2151 Linglestown Rd
Ste. 240
Harrisburg, PA 17110-9499
Phone
(717) 541-0700
Fax
(717) 541-5100
NPI assigned
Mar 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD037744L PA Primary

Addresses

Primary practice location

2151 Linglestown Rd
Ste. 240
Harrisburg, PA 17110-9499

Mailing address

2151 Linglestown Rd
Ste. 240
Harrisburg, PA 17110-9499
Phone (717) 541-0700

Other identifiers 1

IdentifierTypeStateIssuer
0648965MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101215000888 PA Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 3173710266 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Penn Rehabilitation Associates, P.C. Physical Medicine & Rehabilitation CurrentSince Dec 4, 1978 Accepting new patients

Locations

1 Dunwoody Dr
Carlisle, PA 17015
Phone (717) 249-6112

36 S River Rd
Halifax, PA 17032
Phone (717) 827-3428

2151 Linglestown Rd
Ste 240
Harrisburg, PA 17110
Phone (717) 541-0700

550 N 12th St
Lemoyne, PA 17043
Phone (717) 737-9818

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368748800000",
    "number": "1679540140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 LINGLESTOWN RD",
            "address_2": "STE. 240",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109499",
            "telephone_number": "717-541-0700",
            "fax_number": "717-541-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 LINGLESTOWN RD",
            "address_2": "STE. 240",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109499",
            "telephone_number": "717-541-0700",
            "fax_number": "717-541-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIOLAGO",
        "first_name": "EDUARDO",
        "middle_name": "SANTIAGO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2013-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD037744L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0648965",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.