Organization Active NPI

Mid Atlantic Surgical Services Inc

  • Specialist
  • Lancaster, PA
National Provider Identifier
1740335462
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD 017510-E Issued in PA
Legal business name
MID ATLANTIC SURGICAL SERVICES INC
Practice address
217 Harrisburg Ave
Suite 201
Lancaster, PA 17603-2964
Phone
(717) 295-5454
Fax
(717) 295-1585
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Authorized official

Name
Dr. David L. Newcomer, M.D.
Title
Owner
Phone
(717) 295-5454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD 017510-E PA Primary

Addresses

Primary practice location

217 Harrisburg Ave
Suite 201
Lancaster, PA 17603-2964

Mailing address

217 Harrisburg Ave
Suite 201
Lancaster, PA 17603-2964
Phone (717) 295-5454

Other identifiers 1

IdentifierTypeStateIssuer
0010806970001MedicaidPA

National Provider Directory

National Provider Directory

Locations

1560 Lititz Pike
Ste 2
Lancaster, PA 17601
Phone (717) 295-5454

217 Harrisburg Ave
Ste 201
Lancaster, PA 17603
Phone (717) 295-5454

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1740335462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 HARRISBURG AVE",
            "address_2": "SUITE 201",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032964",
            "telephone_number": "717-295-5454",
            "fax_number": "717-295-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 HARRISBURG AVE",
            "address_2": "SUITE 201",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032964",
            "telephone_number": "717-295-5454",
            "fax_number": "717-295-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID ATLANTIC SURGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "NEWCOMER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-295-5454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD 017510-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010806970001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.