Memorial Enterprises Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS004873L Issued in PA

Legal business name

MEMORIAL ENTERPRISES INC

Doing business as

Memorial Primary Care Network

Practice address

55 Old Farm LN
Shrewsbury, PA 17361-1711

Phone

(717) 235-4893

Fax

(717) 227-0811

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Linda A Neubauer, CPC

Title

MGR of Finance and Coding

Phone

(717) 815-2557

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Memorial Primary Care Network Doing business as

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1841339827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 6TH AVE",
            "address_2": "SUITE 4",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174032620",
            "telephone_number": "717-815-2557",
            "fax_number": "717-854-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 OLD FARM LN",
            "city": "SHREWSBURY",
            "state": "PA",
            "postal_code": "173611711",
            "telephone_number": "717-235-4893",
            "fax_number": "717-227-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "NEUBAUER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MGR OF FINANCE AND CODING",
        "authorized_official_telephone_number": "717-815-2557",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS004873L",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD032147E",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS010705L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001713217",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000908062",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001899137",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Primary Care Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Colleen Marie McElroy, OTR
• Heidi Meckley, HIS
• Taylor Marie Meredith, DPT, PT
• Natali Monaghan
• Jessica Moore, CRNP
• Myeyedr Optometry of Pennsylvania LLC
• N&Leyewear

• Family Medicine Physician in Shrewsbury, PA
• Providers in Shrewsbury, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.