Organization Active NPI

Heritage Surgical Associates, LTD.

  • Surgery Physician
  • Ephrata, PA
National Provider Identifier
1881675445
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
HERITAGE SURGICAL ASSOCIATES, LTD.
Practice address
804 Grandview Dr
Suite 2
Ephrata, PA 17522-1635
Phone
(717) 733-2055
Fax
(717) 738-4114
NPI assigned
Nov 10, 2005
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
William C Piepgrass, M.D.NPI 1053392605
Title
Doctor
Phone
(717) 733-7627

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

804 Grandview Dr
Suite 2
Ephrata, PA 17522-1635

Mailing address

804 Grandview Dr
Suite 2
Ephrata, PA 17522-1635
Phone (717) 733-2055

Other identifiers 1

IdentifierTypeStateIssuer
0016835570002MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & 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": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881675445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 GRANDVIEW DR",
            "address_2": "SUITE 2",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221635",
            "telephone_number": "717-733-2055",
            "fax_number": "717-738-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 GRANDVIEW DR",
            "address_2": "SUITE 2",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221635",
            "telephone_number": "717-733-2055",
            "fax_number": "717-738-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE SURGICAL ASSOCIATES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PIEPGRASS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "717-733-7627",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016835570002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, 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.