Active NPI
Slate Hill Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Camp Hill, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SLATE HILL SURGERY CENTER, LLC
- Practice address
- 3950 Hartzdale Dr
Camp Hill, PA 17011-7828 - Phone
- (717) 761-5530
- Fax
- (717) 737-7197
- NPI assigned
- Apr 11, 2023
- Last updated
- Nov 16, 2023
- 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
- Dr. Matthew J Kelly, MD
- Title
- President
- Phone
- (717) 761-5530
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | Primary |
Addresses
Primary practice location
3950 Hartzdale Dr
Camp Hill, PA 17011-7828
Mailing address
3399 Trindle Rd
Camp Hill, PA 17011-4407
Phone (717) 761-5530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231108002276 | PA | Part B Supplier - Ambulatory Surgical Center | 9133576465 | Practice locations: Camp Hill, PA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Slate Hill Surgery Center LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2290046 | Slate Hill Surgery Center | Certificate of waiver | Sep 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
3950 Hartzdale Dr
Camp Hill, PA 17011
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Orthopaedic Surgery Physician
- Camp Hill, PA
- NPI 1093793531
-
- Orthopaedic Surgery Physician
- Camp Hill, PA
- NPI 1902038037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700092800000",
"number": "1801582168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3399 TRINDLE RD",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170114407",
"telephone_number": "717-761-5530",
"fax_number": "717-737-7197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 HARTZDALE DR",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170117828",
"telephone_number": "717-761-5530",
"fax_number": "717-737-7197"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLATE HILL SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-11",
"last_updated": "2023-11-16",
"certification_date": "2023-11-16",
"status": "A",
"authorized_official_last_name": "KELLY",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "717-761-5530",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"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 Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.