Provider Demographics
NPI:1619960192
Name:SPRING CREEK MANAGEMENT L.P.
Entity Type:Organization
Organization Name:SPRING CREEK MANAGEMENT L.P.
Other - Org Name:SC MEDICAL PARTNERS
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:D
Authorized Official - Last Name:ROHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-963-8099
Mailing Address - Street 1:1205 S. 28TH STREET
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17111
Mailing Address - Country:US
Mailing Address - Phone:717-565-7000
Mailing Address - Fax:717-558-8138
Practice Address - Street 1:1205 S. 28TH STREET
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17111
Practice Address - Country:US
Practice Address - Phone:717-565-7000
Practice Address - Fax:717-558-8138
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SPRING CREEK MANAGEMENT L.P.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-08-30
Last Update Date:2015-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1326151804Medicare Oscar/Certification
PA1017950190001Medicaid