Active NPI
Surgical Specialists of York LTD
- Surgery Physician
- York, PA
National Provider Identifier
1700941796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0S009169L
- Legal business name
- SURGICAL SPECIALISTS OF YORK LTD
- Practice address
- 1777 5TH Ave
York, PA 17403-2632 - Phone
- (717) 812-8871
- Fax
- (717) 812-8624
- NPI assigned
- Dec 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher J Evans, DO
- Title
- President
- Phone
- (717) 812-8871
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0S009169L | PA | Primary |
Addresses
Primary practice location
1777 5TH Ave
York, PA 17403-2632
Mailing address
1777 5TH Ave
York, PA 17403-2632
Phone (717) 812-8871
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017934790003 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477872000000",
"number": "1700941796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1777 5TH AVE",
"city": "YORK",
"state": "PA",
"postal_code": "174032632",
"telephone_number": "717-812-8871",
"fax_number": "717-812-8624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 5TH AVE",
"city": "YORK",
"state": "PA",
"postal_code": "174032632",
"telephone_number": "717-812-8871",
"fax_number": "717-812-8624"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL SPECIALISTS OF YORK LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-27",
"last_updated": "2016-10-31",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "717-812-8871",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "PA",
"license": "0S009169L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017934790003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
- Ravichandran Suppiah, MD
- Sumathi Suppiah, MD
- Jacques L Surer, Jr., D.O.
- Sarah Surgeoner, PA-C
- Surgical Center of York, Inc
- Surinder Vohra MDPC
- Susquehanna Oral & Maxillofacial Surgery
- Susquehanna Valley Chiropractic and Rehabilitation
- Susquehanna Valley Women'S Health Care PC
- Elizabeth Grace Svolto-Patterson, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.