Central Susquehanna Surgical Specialists, P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

CENTRAL SUSQUEHANNA SURGICAL SPECIALISTS, P.C.

Practice address

135 JPM Rd
Lewisburg, PA 17837-9313

Phone

(570) 523-3290

NPI assigned

Mar 7, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Holly Deiter

Title

Practice Administrator

Phone

(570) 523-3290

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Janine M Gaul, PA-C

  • Physician Assistant
  • University Park, PA
  • NPI 1427025683
  NPD
• James W Morgan Jr., MD

  • Surgery Physician
  • Lewisburg, PA
  • NPI 1285602201
  NPD
• Todd M Stefan, MD

  • Vascular Surgery Physician
  • Lewisburg, PA
  • NPI 1477521391
  NPD
• John F Turner, MD

  • Surgery Physician
  • Lewisburg, PA
  • NPI 1700854726
  NPD

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932176104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 JPM RD",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379313",
            "telephone_number": "570-523-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 JPM RD",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379313",
            "telephone_number": "570-523-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL SUSQUEHANNA SURGICAL SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEITER",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "570-523-3290"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010499910007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Center for Mindful Living, LLC
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• Central Penn Mobile Wound Care
• Central Pennsylvania Cardiology Associates LLC
• Seth Edward Chamberlain, B.S.
• Shane Chamberlin, BSL
• Champion Shoe Sales & Repair Inc
• Anya J Chandler, M.D.
• Julie Marie Charlton, ATC, MPT

• Surgery Physician in Lewisburg, PA
• Providers in Lewisburg, PA by specialty
• Surgery Physician in Pennsylvania

• 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.