MR. LEROY KARL RUNG


Address: 423 North 21st St., Ste. 300, Camp Hill, PA 17011
Phone: 7177632559

MR. LEROY KARL RUNG (NPI# 1104874114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104874114
Entity Type Individual
Full Name MR. LEROY KARL RUNG
Credential PAC
Practice Address 423 North 21st St.
Ste. 300
Camp Hill
PA 17011
Mailing Address 100 N Academy Ave
Danville
PA 17822-4903
Practice Telephone 7177632559
Practice Fax Number 7179093889
Mailing Telephone 5702716144
Mailing Fax Number 5702716578
Enumeration Date 2006-05-04
Last Update Date 2020-08-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant MA001806L PA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA CAPITAL BC 50058941 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
30 Hope Dr, Suite 1200, Hershey, PA 170332036 7175313828 7175313858

Office Location

Street Address 423 NORTH 21ST ST.
STE. 300
City CAMP HILL
State PA
Zip Code 17011

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790241628 Harrisburg Home Care Home Health 1713 Hammel Road, R2, Harrisburg, PA 17011 2019-02-15
1427540269 Eldercare Solutions LLC Adult Companion 1926 Market Street, Camp Hill, PA 17011 2018-06-06
1538680244 Edward Joseph Hilton Dentist 3412 Trindle Road, Camp Hill, PA 17011 2017-07-03
1639609696 Alicia Taylor Brustein Physician Assistant 425 North 21st Street, Suite 405, Camp Hill, PA 17011 2017-06-13
1285166843 Betsy Earnest, Lpc, LLC Counselor 1509 Cedar Cliff Drive, Suite 4, Camp Hill, PA 17011 2017-03-31
1962852368 Angela Antonia Debo Family Medicine 3025 Market Street, Entrance B, Camp Hill, PA 17011 2016-06-16
1033567839 Timothy Zack Day Physician Assistant 897 Poplar Rd, Camp Hill, PA 17011 2016-06-02
1962864892 Tracy Byra Registered Nurse 15 Scarsdale Drive, Camp Hill, PA 17011 2016-03-21
1245634138 Charlotte Diane Hain Psychologist 781 Poplar Church Road, Camp Hill, PA 17011 2014-10-21
1205276805 Isaac S Chiang Optometrist South 32nd Street & Trindle Rd, Camp Hill, PA 17011 2013-06-27
Find all providers in zip 17011

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821555251 Alexander James Taylor Physician Assistant 890 Poplar Church Rd Ste 210, Camp Hill, PA 17011-2250 2019-02-21
1639609696 Alicia Taylor Brustein Physician Assistant 425 North 21st Street, Suite 405, Camp Hill, PA 17011 2017-06-13
1033567839 Timothy Zack Day Physician Assistant 897 Poplar Rd, Camp Hill, PA 17011 2016-06-02
1952900896 Bridget Bowman Physician Assistant 3399 Trindle Rd, Camp Hill, PA 17011-4407 2020-10-21
1649894932 Arne Sunyavivat Kotte Physician Assistant 503 N 21st St, Camp Hill, PA 17011-2288 2020-06-02
1538792031 Brooke R Thompson Physician Assistant 3399 Trindle Rd, Camp Hill, PA 17011-4407 2020-02-13
1598301087 Giovanni V Brancaleone Physician Assistant 503 N 21st St, Camp Hill, PA 17011-2204 2019-11-20
1417592932 Valerie Lynn Kubalak Physician Assistant 503 N 21st St, Camp Hill, PA 17011-2204 2019-11-07
1952943334 Candice Marie Bobolsky Physician Assistant 423 N 21st St Ste 100, Camp Hill, PA 17011-2207 2019-10-17
1003467572 Jeremy Phillip Hopersberger Physician Assistant 429 N 21st St, Camp Hill, PA 17011-2202 2019-09-25
Find all providers in CAMP HILL

Competitor

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City CAMP HILL
Zip Code 17011

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Dataset Information

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.

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