NPIMap

Organization Active NPI

Pinnacle Health Medical Services

Doing business as UPMC Ephrata Primary Care

  • Family Medicine Physician
  • Ephrata, PA
National Provider Identifier
1043978125
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PINNACLE HEALTH MEDICAL SERVICES
Doing business as
UPMC Ephrata Primary Care
Practice address
4229 Oregon Pike
Ephrata, PA 17522-9450
Phone
(717) 445-4371
Fax
(717) 445-4767
NPI assigned
Dec 6, 2021
Last updated
Apr 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amy F Wilkinson
Title
Pe Manager
Phone
(717) 231-8038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

4229 Oregon Pike
Ephrata, PA 17522-9450

Mailing address

409 S 2ND St Ste 2F
Harrisburg, PA 17104-1612
Phone (717) 231-8049

Other practice location 1

320 School Rd
Denver, PA 17517-9728
Phone (717) 445-4371

Other names 2

  • UPMC Ephrata Primary Care Doing business as
  • UPMC Denver Primary Care Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040407000180 PA Part B Supplier - Clinic/Group Practice 7618960493 Receives reassigned benefits from 2,171 practitioners
This NPI is an additional NPI on the enrollment

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0188003Upmc Ephrata Primary Care4229 Oregon Pike, Ephrata, PA 17522Certificate of waiverDec 14, 2026

National Provider Directory

National Provider Directory
Tax ID family
Todd R Fisher190 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1043978125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST STE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612",
            "telephone_number": "717-231-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 OREGON PIKE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175229450",
            "telephone_number": "717-445-4371",
            "fax_number": "717-445-4767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 School Rd",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "PA",
            "postal_code": "175179728",
            "country_code": "US",
            "telephone_number": "717-445-4371",
            "fax_number": "717-445-4767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PINNACLE HEALTH MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PE MANAGER",
        "authorized_official_telephone_number": "717-231-8038"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UPMC Ephrata Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UPMC Denver Primary Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ephrata, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.