NPIMap

Organization Active NPI

Internists of Central Pennsylvania

  • Physician Assistant
  • Lemoyne, PA
National Provider Identifier
1861862591
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA057852 Issued in PA
Legal business name
INTERNISTS OF CENTRAL PENNSYLVANIA
Practice address
108 Lowther St
Lemoyne, PA 17043-2045
Phone
(717) 774-1366
NPI assigned
Oct 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
Georgia Johnson
Title
Office Manager
Phone
(717) 774-1366

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X MA057852 PA Primary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X MA057852 PA

Addresses

Primary practice location

108 Lowther St
Lemoyne, PA 17043-2045

Mailing address

154 Erford Rd Apt 405
Camp Hill, PA 17011-1827
Phone (740) 504-3140

National Provider Directory

National Provider Directory
Tax ID family
Internists of Central PA2 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.

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1861862591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 ERFORD RD APT 405",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111827",
            "telephone_number": "740-504-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 LOWTHER ST",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170432045",
            "telephone_number": "717-774-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNISTS OF CENTRAL PENNSYLVANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "717-774-1366"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA057852",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057852",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemoyne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.