Cresencio W Umali, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD065518L Issued in PA

Practice address

204 Mumper LN
Dillsburg, PA 17019-1395

Phone

(717) 432-2411

Fax

(717) 432-1409

NPI assigned

Nov 25, 2005

Last updated

Apr 10, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spirit Physician Services Inc

  dba Dillsburg Family Health Center

  • Nurse Practitioner
  • Camp Hill, PA
  • NPI 1902110794
  NPD (past)
• Spirit Physician Services Inc.

  • Diagnostic Radiology Physician
  • Camp Hill, PA
  • NPI 1275072662
  NPD (past)

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1720061542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 GRANDVIEW AVE",
            "address_2": "SUITE 210",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111708",
            "telephone_number": "717-972-7917",
            "fax_number": "717-972-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MUMPER LN",
            "city": "DILLSBURG",
            "state": "PA",
            "postal_code": "170191395",
            "telephone_number": "717-432-2411",
            "fax_number": "717-432-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMALI",
        "first_name": "CRESENCIO",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD065518L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001701440",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Tecau, D.O.
• The Giant Company, LLC (Giant Pharmacy #6310)
• There Is Liberty Counseling Services LLC
• Thrift Drug Inc (Rite Aid Pharmacy 11019)
• Dagmar Torres- Lamboy, BCABA
• Beverley P Uniacke, MD
• Kayla Voigt, COTA/L
• Landon Earl Wahl, DPT
• Randi Walker, PT, DPT
• Lori Lee Wallower, D.O.

• Family Medicine Physician in Dillsburg, PA
• Providers in Dillsburg, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.