NPIMap

Organization Active NPI

Enteron, Inc

Doing business as Poplar Church Anesthesia

  • Specialist
  • Camp Hill, PA
National Provider Identifier
1750330783
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ENTERON, INC
Doing business as
Poplar Church Anesthesia
Practice address
899 Poplar Church Rd
Camp Hill, PA 17011-2206
Phone
(717) 763-0430
Fax
(717) 763-9854
NPI assigned
May 8, 2006
Last updated
Oct 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Authorized official

Name
Iris Garman
Title
Administrator
Phone
(717) 763-0430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

899 Poplar Church Rd
Camp Hill, PA 17011-2206

Mailing address

899 Poplar Church Rd
Camp Hill, PA 17011-2206
Phone (717) 763-0430

Other identifiers 1

IdentifierTypeStateIssuer
0073250710002MedicaidPA

Other names 1

  • Poplar Church Anesthesia Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.pagiconsultants.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040910000219 PA Part B Supplier - Clinic/Group Practice 6507833506 Receives reassigned benefits from 16 practitioners
Practice locations: Camp Hill, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1750330783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 POPLAR CHURCH RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112206",
            "telephone_number": "717-763-0430",
            "fax_number": "717-763-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 POPLAR CHURCH RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112206",
            "telephone_number": "717-763-0430",
            "fax_number": "717-763-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTERON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "GARMAN",
        "authorized_official_first_name": "IRIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "717-763-0430"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0073250710002",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.pagiconsultants.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "website",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "899 Poplar Church Rd",
            "city": "Camp Hill",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170112206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Poplar Church Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Poplar Church Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.