NPIMap

Organization Active NPI

Sharon Regional Physician Services

  • Surgery Physician
  • Hermitage, PA
National Provider Identifier
1700073277
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD065330L Issued in PA
Legal business name
SHARON REGIONAL PHYSICIAN SERVICES
Practice address
2435 Garden Way
Hermitage, PA 16148-5211
Phone
(724) 983-5492
Fax
(724) 983-5950
NPI assigned
Sep 28, 2007
Last updated
Dec 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Laura Graves
Title
Director of Physician Services
Phone
(724) 813-8224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD065330L PA Primary

Addresses

Primary practice location

2435 Garden Way
Hermitage, PA 16148-5211

Mailing address

PO Box 1004
Hermitage, PA 16148-0004
Phone (724) 347-0861

Other names 1

  • SRPS- BREAST CARE CENTER Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1700073277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1004",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161480004",
            "telephone_number": "724-347-0861",
            "fax_number": "724-347-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 GARDEN WAY",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161485211",
            "telephone_number": "724-983-5492",
            "fax_number": "724-983-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON REGIONAL PHYSICIAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "724-813-8224"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD065330L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SRPS- BREAST CARE CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hermitage, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.