Op Millersburg, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

451902 Issued in PA

Legal business name

OP MILLERSBURG, LLC

Practice address

900 Medical Rd
Millersburg, PA 17061-1235

Phone

(717) 692-4751

Fax

(717) 692-4588

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Joseph Conte

Title

Chief Operating Officer

Phone

(407) 571-1550

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Manor at Susquehanna Village Doing business as

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801838495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CONCOURSE PKWY S",
            "address_2": "SUITE 200",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327516148",
            "telephone_number": "407-571-1550",
            "fax_number": "407-571-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MEDICAL RD",
            "city": "MILLERSBURG",
            "state": "PA",
            "postal_code": "170611235",
            "telephone_number": "717-692-4751",
            "fax_number": "717-692-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OP MILLERSBURG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONTE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "407-571-1550"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "451902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012273340001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Manor at Susquehanna Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Neely, LCSW
• Denise Ellen Newman, M.A.
• Amanda F Nick, MSPT
• Afshan J Noor, D.D.S
• Adam Robert Ohnmacht, DO
• Lecia Mae Orr, ATC, EMT-B
• Orthopedic Surgeons LTD
• Orthopedic Surgeons LTD
• Orthopedic Surgeons LTD
• Beth A Parrish, ATC

• Skilled Nursing Facility in Millersburg, PA
• Providers in Millersburg, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.