MEDICAL ATHLETIC CENTER LLC (NPI# 1699118430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699118430 |
| Entity Type | Organization |
| Organization Name | MEDICAL ATHLETIC CENTER LLC |
| Practice Address |
1785 Loucks Rd York PA 17408-9710 |
| Practice Telephone | 7177674151 |
| Practice Fax Number | 7177672023 |
| Mailing Telephone | 7177674151 |
| Mailing Fax Number | 7177672023 |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2013-06-06 |
| Authorized Official Name | KEVIN OWENS (OWNER) |
| Authorized Official Telephone | 7177674151 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
1785 LOUCKS RD |
| City | YORK |
| State | PA |
| Zip Code | 17408-9710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457376709 | Kevin Blake Owens | Chiropractor | 1785 Loucks Rd, York, PA 17404-9710 | 2006-07-13 |
| 1558871541 | Samantha Marines | Chiropractor | 1785 Loucks Rd, York, PA 17408-9710 | 2017-10-04 |
| 1265773410 | Medical Athletic Center, LLC | General Practice | 1785 Loucks Rd, York, PA 17408-9710 | 2013-03-13 |
| 1427352301 | Kenneth Baker D.c. LLC | Chiropractor | 1785 Loucks Rd, York, PA 17408-9710 | 2011-01-06 |
| 1861702466 | Kenneth Charles Baker Jr. | Chiropractor | 1785 Loucks Rd, York, PA 17408 | 2010-10-15 |
| 1568635050 | David Eugene Boyer | Chiropractor | 1785 Loucks Rd, York, PA 17408-9710 | 2008-04-07 |
| 1407909278 | Dr. Kevin B. Owens, P.C. | Chiropractor | 1785 Loucks Rd, York, PA 17404-9710 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245362409 | Bruce Dietterick | Dentist | 1589 Carlisle Road, York, PA 17408 | 2007-03-12 |
| 1306805817 | Adelle Grace Kurtz | Family Medicine | 1550 Rodney Road, York, PA 17408 | 2006-03-22 |
| 1639159924 | James J. Sullivan | Rehabilitation Practitioner | 1850 Normandie Drive, York, PA 17408 | 2006-01-20 |
| 1912998154 | Linda Bachman | Nurse Practitioner | 717 Town Center Drive, York, PA 17408 | 2005-11-04 |
| 1447864350 | Jason Charles Propst | Nurse Practitioner | 717 Town Center Drive, York, PA 17408 | 2020-09-08 |
| 1487289468 | Amy J Strausbaugh | Nurse Practitioner | 717 Town Center Drive, York, PA 17408 | 2020-03-10 |
| 1063981686 | Wellspan Medical Group | Family Medicine | 717 Town Center Drive, York, PA 17408 | 2018-11-14 |
| 1174962286 | Pauline A Joshua | Internal Medicine | 1701 Innovation Dr, York, PA 17408 | 2013-06-21 |
| 1811149222 | Robert Raymond Wisman | Physical Therapy Assistant | 1770 Barley Rd, York, PA 17408 | 2008-10-16 |
| 1902006455 | Preeti Meghnath Murudkar | Family Medicine | 1550 Rodney Road, York, PA 17408 | 2007-07-23 |
| Find all providers in zip 17408 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700311693 | Jennifer Cornelius | General Practice | 32 Lobster Cove Rd, York, ME 03909-1269 | 2017-04-27 |
| 1184995797 | Ivan Lewis Butler | General Practice | 204 St. Charles Way, Unit 364e, York, PA 17402 | 2012-01-13 |
| 1710278320 | Thomas Duane Johnson | General Practice | 2330 Birch Rd, York, PA 17408-4107 | 2011-04-29 |
| 1306804315 | Susan Diane Kurz | General Practice | 1509 Rosewood Ln, York, PA 17403-4423 | 2006-05-02 |
| 1497731442 | Michael L Hughes | General Practice | 1736 Old York Rd, York, SC 29745-9458 | 2005-12-21 |
| 1265773410 | Medical Athletic Center, LLC | General Practice | 1785 Loucks Rd, York, PA 17408-9710 | 2013-03-13 |
| 1215246764 | Tricorne Primary Nerve & Joint | General Practice | 2200 S George St, Suite W2, York, PA 17403-4594 | 2010-10-01 |
| 1558519843 | John Gerald Laughner Jr. | General Practice | 2141 Pennsylvania Ave, Concentra Medical Centers, York, PA 17404 | 2008-08-29 |
| 1235354861 | Ray A Wilson | General Practice | 209 N Beaver St, York, PA 17403-5321 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609494798 | Heather L Levan | General Practice | 919 Gravel Pike, Palm, PA 18070-1204 | 2020-07-06 |
| 1124642996 | Wound Pros Medical Group | General Practice | 1500 Market Street 12th Floor, East Tower, Philadelphia, PA 19102-2152 | 2020-06-08 |
| 1861024390 | Daniel James Leonard IIi | General Practice | 397 Fifth Street, Nanty Glo, PA 15943 | 2020-02-12 |
| 1831755735 | Good Hope Health Center Corp | General Practice | 7712 Buist Ave, Philadelphia, PA 19153-1705 | 2019-05-15 |
| 1366008260 | Ltc Treatment Center Inc | General Practice | 7712 Buist Ave Apt B, Philadelphia, PA 19153-1705 | 2019-05-15 |
| 1003479825 | Marsha Frances Santangelo | General Practice | 107 Sawgrass Drive, Blue Bell, PA 19422 | 2019-04-17 |
| 1972072288 | Paula Alejandra Pino Pommer | General Practice | 3551 North Broad St., Philadelphia, PA 19140-4160 | 2018-11-15 |
| 1033686159 | Star Wellness Center, Inc | General Practice | 511 E 3rd St Ste 202, Bethlehem, PA 18015-2180 | 2018-10-26 |
| 1891277620 | Donald C. Cameron | General Practice | 718 Kennett Pike, Chadds Ford, PA 19317 | 2018-08-29 |
| 1124510888 | Healing Place Medical, P.C. | General Practice | 1600 Horizon Dr Ste 122123, Chalfont, PA 18914-4100 | 2018-05-30 |
| Find all providers with the same taxonomy | ||||
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| 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.