Organization Active NPI

Memorial Enterprises, Inc.

  • Urology Physician
  • York, PA
National Provider Identifier
1699088120
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD0703689L Issued in PA
Legal business name
MEMORIAL ENTERPRISES, INC.
Doing business as
York Urology Specialists
Practice address
1600 6TH Ave
Suite 108
York, PA 17403-2626
Phone
(717) 815-2562
Fax
(717) 815-2563
NPI assigned
Jul 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Authorized official

Name
Ms. Linda A Neubauer
Title
Manager of Finance and Coding
Phone
(717) 815-2557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X MD0703689L PA Primary

Addresses

Primary practice location

1600 6TH Ave
Suite 108
York, PA 17403-2626

Mailing address

1600 6TH Ave
Suite 108
York, PA 17403-2626
Phone (717) 815-2562

Other identifiers 1

IdentifierTypeStateIssuer
039846OtherPAGROUP PTAN

Other names 1

  • York Urology Specialists Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1699088120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 6TH AVE",
            "address_2": "SUITE 108",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174032626",
            "telephone_number": "717-815-2562",
            "fax_number": "717-815-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 6TH AVE",
            "address_2": "SUITE 108",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174032626",
            "telephone_number": "717-815-2562",
            "fax_number": "717-815-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "NEUBAUER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER OF FINANCE AND CODING",
        "authorized_official_telephone_number": "717-815-2557",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "PA",
            "license": "MD0703689L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "039846",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "York Urology Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 25, 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.