QITA ASC-HARRISBURG, LLC (NPI# 1588291686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588291686 |
| Entity Type | Organization |
| Organization Name | QITA ASC-HARRISBURG, LLC |
| Practice Address |
815 Sir Thomas Ct Harrisburg PA 17109-4839 |
| Practice Telephone | 7179382765 |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2020-03-26 |
| Authorized Official Name | MR. BENJAMIN SLATER (CHIEF PRODUCT & STRATEGY OFFICER) |
| Authorized Official Telephone | 7179326343 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
815 SIR THOMAS CT |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17109-4839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881253912 | Jacob Moses Doan | Physician Assistant | 815 Sir Thomas Ct, Harrisburg, PA 17109-4839 | 2019-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841786852 | Caroline Lippe | Surgery | Upmc Pinnacle Training Programs, 4300 Londonderry Road, Harrisburg, PA 17109 | 2018-07-03 |
| 1073000477 | Sunny R Parekh | Orthopaedic Surgery | Upmc Pinnacle, 4300 Londonderry Road, Harrisburg, PA 17109 | 2018-04-20 |
| 1003329459 | Liyah Care Homecare, LLC | In Home Supportive Care | 301 N. Progress Ave, #c5, Harrisburg, PA 17109 | 2017-11-08 |
| 1073069951 | Hannah Marie Lafleur | Specialist/Technologist | 500 Nevada Ave., Harrisburg, PA 17109 | 2016-08-30 |
| 1467792333 | Donna M Oswandel | Registered Nurse | 4300 Londonderry Rd Ste 202, Harrisburg, PA 17109 | 2013-02-28 |
| 1841575206 | Jeanine D Bucek | Nurse Practitioner | 550 North Progress Avenue, Harrisburg, PA 17109 | 2011-10-18 |
| 1225348899 | Ashley Dominique Hudson | Optometrist | Route 22 and Colonial Rd., Suite 74, Harrisburg, PA 17109 | 2010-10-18 |
| 1215177183 | Schappell Chiropractic, PC | Chiropractor | 3301 Schoolhouse Lane, Harrisburg, PA 17109 | 2009-03-04 |
| 1902057524 | Orthopedic Surgeons Ltd | Orthopaedic Surgery | 450 Powers Avenue, Harrisburg, PA 17109 | 2008-10-01 |
| 1124286984 | Scott Kevin Leedy | Dentist | 3106 Walnut Street, Harrisburg, PA 17109 | 2008-05-29 |
| Find all providers in zip 17109 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467721332 | Capital Surgery and Laser Center, LLC | Clinic/Center | 10 Capital Dr, Harrisburg, PA 17110-9446 | 2011-12-22 |
| 1215997929 | Harrisburg Interventional Pain Mgmt Ctr | Clinic/Center | 825 Sir Thomas Court, Suite A, Harrisburg, PA 17109 | 2006-03-25 |
| 1558363549 | Susquehanna Valley Surgery Center | Clinic/Center | 4310 Londonderry Road, Suite #1, Harrisburg, PA 17109-5317 | 2005-08-10 |
| 1831339670 | Surgery Center of Harrisburg | Clinic/Center | 4033 Linglestown Rd, Suite 1a, Harrisburg, PA 17112 | 2009-03-05 |
| 1255437638 | Upmc Pinnacle Hospitals | Clinic/Center | 111 S Front St, Harrisburg, PA 17101-2010 | 2006-09-15 |
| 1043314750 | Upmc Pinnacle Hospitals | Clinic/Center | 111 S Front St, Harrisburg, PA 17101-2010 | 2006-09-12 |
| 1346344769 | Upmc Pinnacle Hospitals | Clinic/Center | 111 S Front St, Harrisburg, PA 17101-2010 | 2006-09-08 |
| 1164526588 | Upmc Pinnacle Hospitals | Clinic/Center | 4300 Londonderry Rd, Harrisburg, PA 17109-5317 | 2006-09-08 |
| 1568416105 | Michael F Lupinacci Md PC | Clinic/Center | 4310 Londonderry Rd, Suite 100, Harrisburg, PA 17109-5300 | 2006-05-19 |
| 1730130246 | Pennsylvania Eye Surgery Center, Inc. | Clinic/Center | 4100 Linglestown Rd, Harrisburg, PA 17112-1071 | 2006-05-12 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17109 |
Please comment or provide details below to improve the information on QITA ASC-HARRISBURG, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.