Organization Active NPI

Hummelstown Family Medicine PC

  • Family Medicine Physician
  • Hummelstown, PA
National Provider Identifier
1821054107
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0S006156L Issued in PA
Legal business name
HUMMELSTOWN FAMILY MEDICINE PC
Practice address
215 W Main Street
Hummelstown, PA 17036-1420
Phone
(717) 566-8786
Fax
(717) 566-8702
NPI assigned
Apr 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Deanne S Endy, DO
Title
DO
Phone
(717) 566-8786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 0S006156L PA Primary

Addresses

Primary practice location

215 W Main Street
Hummelstown, PA 17036-1420

Mailing address

215 W Main Street
Hummelstown, PA 17036-1420
Phone (717) 566-8786

Other identifiers 1

IdentifierTypeStateIssuer
01117545MedicaidPA

Other names 1

  • Deanne S Endy DO Other name

National Provider Directory

National Provider Directory

Locations

215 W Main St
Hummelstown, PA 17036
Phone (717) 566-8786

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821054107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W MAIN STREET",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170361420",
            "telephone_number": "717-566-8786",
            "fax_number": "717-566-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W MAIN STREET",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170361420",
            "telephone_number": "717-566-8786",
            "fax_number": "717-566-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMMELSTOWN FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ENDY",
        "authorized_official_first_name": "DEANNE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "717-566-8786",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "0S006156L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01117545",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deanne S Endy DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hummelstown, PA

Sources for this page

  • 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.