Advanced Limb Salvage Center LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

ADVANCED LIMB SALVAGE CENTER LLC

Practice address

3040 Market St
Camp Hill, PA 17011-4539

Phone

(717) 727-0480

Fax

(717) 727-0479

NPI assigned

May 9, 2021

Last updated

Apr 28, 2022By 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

Angela Brooks

Title

Practice Administrator

Phone

(717) 727-0480

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 5

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.

• Rajesh Mukundrai Dave, M.D.

  • Cardiovascular Disease Physician
  • Camp Hill, PA
  • NPI 1184627333
  Medicare reassignment Care Compare group NPD
• Bryan W Kluck, D.O.

  • Cardiovascular Disease Physician
  • Allentown, PA
  • NPI 1659486959
  Medicare reassignment Care Compare group NPD
• Prasant Pandey, M.D.

  • Cardiovascular Disease Physician
  • Bethlehem, PA
  • NPI 1457466518
  Medicare reassignment Care Compare group NPD
• Jeffrey S Arkles, MD

  • Clinical Cardiac Electrophysiology Physician
  • Lancaster, PA
  • NPI 1841405222

  Cardiovascular Disease

  Medicare reassignment NPD
• Emily J Hanwell, PA-C

  • Physician Assistant
  • Hershey, PA
  • NPI 1417558917
  Medicare reassignment NPD

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

{
    "created_epoch": "1620518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1982288692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 MARKET ST",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114539",
            "telephone_number": "717-727-0480",
            "fax_number": "717-327-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 MARKET ST",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114539",
            "telephone_number": "717-727-0480",
            "fax_number": "717-727-0479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 Poplar Church Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Camp Hill",
            "state": "PA",
            "postal_code": "170112203",
            "country_code": "US",
            "telephone_number": "717-727-0480",
            "fax_number": "717-727-0479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED LIMB SALVAGE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-09",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "717-727-0480"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hillary Adams, RD
• Yashoda Adhikari
• Wendy Marie Adkins
• Heather Adkisson, RN
• Adult Medicine & Aesthetics, LLC.
• Advanced Paincare PC
• Advanced Paincare, PC
• Despina A Aftosmes, MSW, LSW, CAADC
• Shiv Shankar Aggarwal, MD
• Alexandra K Agravante

• Cardiovascular Disease Physician in Camp Hill, PA
• Providers in Camp Hill, PA by specialty
• Cardiovascular Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.