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SUMMIT PHYSICIAN SERVICES NPI 1265655633


NPI Information

NPI: 1265655633
Provider Name: SUMMIT PHYSICIAN SERVICES

Doing Business As: WELLSPAN PLASTIC SURGERY & SKIN CARE

Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
12 ST PAUL DR STE 104
CHAMBERSBURG, PA
ZIP 17201
Phone: (717) 263-8463
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SUMMIT PHYSICIAN SERVICES is a plastic and reconstructive surgery surgery in Chambersburg, PA. The provider is a surgeon who specializes in plastic and reconstructive surgery. SUMMIT PHYSICIAN SERVICES NPI is 1265655633. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wellspan Plastic Surgery & Skin Care.

The provider's business location address is:

12 ST PAUL DR STE 104
CHAMBERSBURG, PA
ZIP 17201-033
Phone: (717) 263-8463
Fax: (717) 263-1103

The provider's authorized official is Lissa N. Hinckle .
The authorized official title is Senior Vp Of Physician Services and has the following contact phone number (717) 267-4839.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 12/2/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0122XSurgeryPlastic and Reconstructive SurgeryMD451341PENNSYLVANIAYes
2363A00000XPhysician AssistantMA052608PENNSYLVANIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11007307260071MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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