CCP YORK MEMORIAL
NPI 1922654789
Pediatrics in York, PA

NPI Status: Active since August 16, 2019

Contact Information

2860 CAROL RD
YORK, PA
ZIP 17402
Phone: (717) 757-3400

Get Directions Reviews

  • Organization
  • Pediatrics
  • CLIA Number: 39D0930158
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-30-2025

About CCP YORK MEMORIAL

This page provides the complete NPI Profile along with additional information for Ccp York Memorial, a pediatrician established in York, Pennsylvania operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1922654789 assigned on August 2019. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Ccp York Memorial operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Ccp York Memorial. The authorized official of this NPI record is Lori Martinez (Executive Administrator Iii)

NPI
1922654789
Provider Legal Name
CHILDREN'S COMMUNITY CARE
Other Organization Name
CCP YORK MEMORIAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2860 CAROL RD YORK, PA 17402
Location Phone
(717) 757-3400
Mailing Address
103 BRADFORD RD STE 200 WEXFORD, PA 15090
Mailing Phone
(724) 933-1100
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-16-2019
Last Update Date
09-13-2023
Code Navigator

A pediatrician like Ccp York Memorial is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LORI MARTINEZ

Authorized Official Title
EXECUTIVE ADMINISTRATOR III
Authorized Official Phone
(724) 933-1100

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
39D0930158
Facility Type
Physician Office
Certificate Effective Date
July 01, 2023
Certificate Expiration Date
June 30, 2025
Laboratory Director
DR. MELENCIO C. VENTURA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ccp York Memorial to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CCP YORK MEMORIAL

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1922654789
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29421258716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 1 + 2 + 5 + 8 + 7 + 1 + 6 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1922654789 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912996083MS. RENEE PATRICIA HOWARD M.D.
Individual
Pediatrics2860 CAROL RD
YORK, PA 17402
(717) 757-3400
1619033859 GAIL S HERTZ MD
Individual
Pediatrics2860 CAROL RD
YORK, PA 17402
(717) 757-3400
1427144203MR. MELENCIO CHAN VENTURA JR. MD
Individual
Pediatrics2860 CAROL RD
YORK, PA 17402
(717) 757-3400
1093235285PINNACLE HEALTH REGIONAL PHYSICIANS
Organization
Pediatrics2860 CAROL RD
YORK, PA 17402
(717) 757-3400
1336205574 ANN M SUMMERS CRNP
Individual
Nurse Practitioner (Pediatrics)2860 CAROL RD
YORK, PA 17402
(717) 757-3400
1194936815PEDIATRIC HEALTH ASSOCIATES, PC
Organization
Pediatrics2860 CAROL RD
YORK, PA 17402
(717) 757-3400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922654789, enumerated in the NPI registry as an "organization" on August 16, 2019

The provider is located at 2860 Carol Rd York, Pa 17402 and the phone number is (717) 757-3400

This medical organization specializes in Pediatrics with taxonomy code 208000000X

The provider's CLIA number is 39D0930158 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on August 16, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.