Organization Active NPI

Schaefferstown Family Practice Inc

  • Family Medicine Physician
  • Schaefferstown, PA
National Provider Identifier
1841292463
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SCHAEFFERSTOWN FAMILY PRACTICE INC
Practice address
RT 501 North
Schaefferstown, PA 17088
Phone
(717) 949-2777
Fax
(717) 949-6925
NPI assigned
Aug 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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

Authorized official

Name
Dr. Mark E Folk, D.O.
Title
President
Phone
(717) 949-2777

Specialties & licenses 1

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

Addresses

Primary practice location

RT 501 North
Schaefferstown, PA 17088

Mailing address

PO Box 455
Schaefferstown, PA 17088-0455
Phone (717) 949-2777

Other identifiers 1

IdentifierTypeStateIssuer
101045467MedicaidPA

National Provider Directory

National Provider Directory

Locations

2496 Stiegel Pike
Ofc
Schaefferstown, PA 17088

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1841292463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 455",
            "city": "SCHAEFFERSTOWN",
            "state": "PA",
            "postal_code": "170880455",
            "telephone_number": "717-949-2777",
            "fax_number": "717-949-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT 501 NORTH",
            "city": "SCHAEFFERSTOWN",
            "state": "PA",
            "postal_code": "17088",
            "telephone_number": "717-949-2777",
            "fax_number": "717-949-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHAEFFERSTOWN FAMILY PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "FOLK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-949-2777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101045467",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaefferstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.