Active NPI
Dennis M. Devita, M.D. P.C.
- Sports Medicine (Orthopaedic Surgery) Physician
- Lewistown, PA
National Provider Identifier
1821154337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- MD19256E
- Legal business name
- DENNIS M. DEVITA, M.D. P.C.
- Practice address
- 305 Fourt St
Pleasant Acres
Lewistown, PA 17044-1399 - Phone
- (717) 242-0367
- Fax
- (717) 242-0369
- NPI assigned
- Dec 29, 2006
- 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. Dennis M Devita, M.D.
- Title
- Surgeon
- Phone
- (717) 242-0367
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | MD19256E | PA | Primary |
Addresses
Primary practice location
305 Fourt St
Pleasant Acres
Lewistown, PA 17044-1399
Mailing address
305 Fourt St
Pleasant Acres
Lewistown, PA 17044-1399
Phone (717) 242-0367
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 147667 | Other | PA | HIGHMARK BLUE SHIELD |
| 0007712160001 | Medicaid | PA | |
| 03046400 | Other | PA | CAPITAL BLUE CROSS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1821154337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 FOURT ST",
"address_2": "PLEASANT ACRES",
"city": "LEWISTOWN",
"state": "PA",
"postal_code": "170441399",
"telephone_number": "717-242-0367",
"fax_number": "717-242-0369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 FOURT ST",
"address_2": "PLEASANT ACRES",
"city": "LEWISTOWN",
"state": "PA",
"postal_code": "170441399",
"telephone_number": "717-242-0367",
"fax_number": "717-242-0369"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENNIS M. DEVITA, M.D. P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DEVITA",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "SURGEON",
"authorized_official_telephone_number": "717-242-0367",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "PA",
"license": "MD19256E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "147667",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007712160001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "03046400",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lewistown, 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.