Organization Active NPI

Lock Haven Medical Professionals, PC

Doing business as Community Medical Care Associates

  • Family Medicine Physician
  • Sunbury, PA
National Provider Identifier
1831168228
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LOCK HAVEN MEDICAL PROFESSIONALS, PC
Doing business as
Community Medical Care Associates
Practice address
337 Arch St
Sunbury, PA 17801-2212
Phone
(570) 286-0303
Fax
(570) 286-5794
NPI assigned
Mar 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Gary Douglas Newsome
Title
Group VP
Phone
(570) 286-0303

Specialties & licenses 1

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

Addresses

Primary practice location

337 Arch St
Sunbury, PA 17801-2212

Mailing address

337 Arch St
Sunbury, PA 17801-2212
Phone (570) 286-0303

Other names 1

  • Community Medical Care Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Medical Care Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

337 Arch St
Sunbury, PA 17801
Phone (570) 286-0303

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831168228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 ARCH ST",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178012212",
            "telephone_number": "570-286-0303",
            "fax_number": "570-286-5794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 ARCH ST",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178012212",
            "telephone_number": "570-286-0303",
            "fax_number": "570-286-5794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCK HAVEN MEDICAL PROFESSIONALS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "GROUP VP",
        "authorized_official_telephone_number": "570-286-0303"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Medical Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sunbury, 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.