NPIMap

Organization Active NPI

Memorial Enterprises Inc. D/B/a Memorial Primary Care

  • Family Medicine Physician
  • York, PA
National Provider Identifier
1689996407
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OSO14851 Issued in PA
Legal business name
MEMORIAL ENTERPRISES INC. D/B/A MEMORIAL PRIMARY CARE
Practice address
1232 Greensprings Dr
York, PA 17402-8825
Phone
(717) 755-6166
Fax
(717) 755-1591
NPI assigned
Feb 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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

Authorized official

Name
Linda Ann Neubauer
Title
Manager of Finance and Coding
Phone
(717) 843-1420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OSO14851 PA Primary

Addresses

Primary practice location

1232 Greensprings Dr
York, PA 17402-8825

Mailing address

1412 6TH Ave
York, PA 17403-2648
Phone (717) 845-8173

National Provider Directory

National Provider Directory
Tax ID family
Memorial Enterprises in2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1266624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1689996407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 6TH AVE",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174032648",
            "telephone_number": "717-845-8173",
            "fax_number": "717-854-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 GREENSPRINGS DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174028825",
            "telephone_number": "717-755-6166",
            "fax_number": "717-755-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL ENTERPRISES INC. D/B/A MEMORIAL PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-20",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "NEUBAUER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGER OF FINANCE AND CODING",
        "authorized_official_telephone_number": "717-843-1420"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OSO14851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.