CENTRAL PENNSYLVANIA PULMONARY ASSOCIATES LLC NPI 1356309223

NPI Information

NPI: 1356309223
Provider Name: CENTRAL PENNSYLVANIA PULMONARY ASSOCIATES LLC
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
2250 MILLENIUM WAY
STE 400
ENOLA, PA
ZIP 17025
Phone: (717) 724-2791
Get Directions

CENTRAL PENNSYLVANIA PULMONARY ASSOCIATES LLC is a pulmonary disease internal medicine in Enola, PA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. CENTRAL PENNSYLVANIA PULMONARY ASSOCIATES LLC NPI is 1356309223. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2250 MILLENIUM WAY
STE 400
ENOLA, PA
ZIP 17025-488
Phone: (717) 724-2791
Fax: (717) 724-2797

The provider's authorized official is Timothy A Clark .
The authorized official title is President Ceo and has the following contact phone number (717) 724-2791.

The enumeration date for this NPI number is 5/2/2006 and was last updated on 11/7/2007.

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
1	207RC0200X	Internal Medicine	Critical Care Medicine			No
2	207RP1001X	Internal Medicine	Pulmonary Disease			Yes

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
1	7578487	OTHER		AETNA NON HMO
2	02753200	OTHER		CAPITAL BLUE CROSS
3	001957188 0002	MEDICAID	PENNSYLVANIA
4	1485178	OTHER		HIGHMARK
5	DD2718	MEDICARE PIN
6	1547028	OTHER		GATEWAY
7	3841362	OTHER		AETNA HMO
8	072274	MEDICARE ID-TYPE UNSPECIFIED
9	20042172	OTHER		AMERIHEALTH MERCY
10	2176430000	OTHER		PERSONAL CHOICE PPO

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

NPI Synchronization or Removal

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