Active NPI
Susquehanna Internal Medicine Associates, P. C.
- Internal Medicine Physician
- Camp Hill, PA
National Provider Identifier
1720047392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SUSQUEHANNA INTERNAL MEDICINE ASSOCIATES, P. C.
- Practice address
- 890 Poplar Church Rd
Suite 508
Camp Hill, PA 17011-2250 - Phone
- (717) 350-9651
- NPI assigned
- Mar 21, 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
- Jennifer L. Hake
- Title
- Office Manager
- Phone
- (717) 350-9651
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
890 Poplar Church Rd
Suite 508
Camp Hill, PA 17011-2250
Mailing address
890 Poplar Church Rd
Suite 508
Camp Hill, PA 17011-2250
Phone (717) 350-9651
National Provider Directory
National Provider DirectoryLocations
890 Poplar Church Rd
Ste 508
Camp Hill, PA 17011
Phone (717) 350-9651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720569600000",
"number": "1720047392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 POPLAR CHURCH RD",
"address_2": "SUITE 508",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170112250",
"telephone_number": "717-350-9651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 POPLAR CHURCH RD",
"address_2": "SUITE 508",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170112250",
"telephone_number": "717-350-9651"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSQUEHANNA INTERNAL MEDICINE ASSOCIATES, P. C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-21",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A",
"authorized_official_last_name": "HAKE",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "717-350-9651"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camp Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.