1659307130 NPI number — ARGIRES MAROTTI NEUROSURGICAL ASSOCIATES OF LANCASTER, PC

Table of content: (NPI 1659307130)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659307130 NPI number — ARGIRES MAROTTI NEUROSURGICAL ASSOCIATES OF LANCASTER, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARGIRES MAROTTI NEUROSURGICAL ASSOCIATES OF LANCASTER, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ARGIRES MAROTTI NEUROSURGICAL ASSOCIATES OF LANCASTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659307130
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/30/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
160 N POINTE BLVD STE 200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LANCASTER
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17601-4134
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-358-0800
Provider Business Mailing Address Fax Number:
717-358-0803

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
160 N POINTE BLVD STE 200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LANCASTER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17601-4134
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-358-0800
Provider Business Practice Location Address Fax Number:
717-358-0803
Provider Enumeration Date:
06/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
TAYLOR
Authorized Official First Name:
SHAWN
Authorized Official Middle Name:
ERIK
Authorized Official Title or Position:
PRACTICE ADMINISTRATOR
Authorized Official Telephone Number:
717-358-0814

Provider Taxonomy Codes

  • Taxonomy code: 207LP2900X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207T00000X , with the licence number: MD0555912 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207T00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2084N0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 30009072 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7612194 . This is a "AETNA NON HMO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 18076 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 189650 . This is a "KEYSTONE CENTRAL" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 3655 . This is a "GEISINGER HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2447964 . This is a "AETNA HMO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 03268500 . This is a "CAPITAL BLUE CROSS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1518631 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 271281000 . This is a "AMERIHEALTH65" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 5627335 . This is a "CIGNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1516497 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00164468 . This is a "HIGHMARK BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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