Organization Active NPI

Edwin R. Laudermilch, P.C.

  • Chiropractor
  • Hershey, PA
National Provider Identifier
1881747459
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC002069L Issued in PA
Legal business name
EDWIN R. LAUDERMILCH, P.C.
Practice address
75 Cedar Ave
Hershey, PA 17033-1419
Phone
(717) 533-4844
Fax
(717) 533-5285
NPI assigned
Jan 18, 2007
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
Dr. Ed R Laudermilch, D.C.
Title
President
Phone
(717) 533-4844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC002069L PA Primary

Addresses

Primary practice location

75 Cedar Ave
Hershey, PA 17033-1419

Mailing address

75 Cedar Ave
Hershey, PA 17033-1419
Phone (717) 533-4844

Other identifiers 1

IdentifierTypeStateIssuer
LA25565OtherPAHIGHMARK BLUE SHIELD

Other names 1

  • Ed R. Laudermilch, D.C. Doing business as

National Provider Directory

National Provider Directory

Locations

77 Cedar Ave
Hershey, PA 17033
Phone (717) 533-4844

75 Cedar Ave
Hershey, PA 17033
Phone (717) 533-4844

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881747459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 CEDAR AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331419",
            "telephone_number": "717-533-4844",
            "fax_number": "717-533-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CEDAR AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331419",
            "telephone_number": "717-533-4844",
            "fax_number": "717-533-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWIN R. LAUDERMILCH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAUDERMILCH",
        "authorized_official_first_name": "ED",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-533-4844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002069L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "LA25565",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ed R. Laudermilch, D.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hershey, 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.