Organization Active NPI

Community Medical Associates

  • Family Medicine Physician
  • Harrisburg, PA
National Provider Identifier
1760597637
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMMUNITY MEDICAL ASSOCIATES
Practice address
3601 N Progress Ave
Harrisburg, PA 17110-9100
Phone
(717) 652-7266
Fax
(717) 657-9734
NPI assigned
Aug 20, 2006
Last updated
Jun 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Authorized official

Name
Ms. Virginia T Roth, PA-C
Title
C.O.O
Phone
(717) 652-7266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA Primary

Addresses

Primary practice location

3601 N Progress Ave
Harrisburg, PA 17110-9100

Mailing address

3601 N Progress Ave
Harrisburg, PA 17110-9100
Phone (717) 652-7266

Other identifiers 1

IdentifierTypeStateIssuer
C14568OtherPAR R MEDICARE

National Provider Directory

National Provider Directory

Locations

3601 N Progress Ave
Harrisburg, PA 17110
Phone (717) 233-7290

3601 N Progress Ave
#3707
Harrisburg, PA 17110

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1760597637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 N PROGRESS AVE",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109100",
            "telephone_number": "717-652-7266",
            "fax_number": "717-652-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 N PROGRESS AVE",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109100",
            "telephone_number": "717-652-7266",
            "fax_number": "717-657-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "C.O.O",
        "authorized_official_telephone_number": "717-652-7266",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R R MEDICARE",
            "identifier": "C14568",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.