Individual provider Active NPI

Elaine L Goldhammer, MD

  • Hospitalist Physician
  • Ephrata, PA
National Provider Identifier
1053353987
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD444320 Issued in PA
Practice address
169 Martin Ave
Ephrata, PA 17522-1734
Phone
(717) 721-4740
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N3051 TX
Internal Medicine Physician 207R00000X MD444320 PA
Hospitalist Physician 208M00000X N3051 TX
Hospitalist Physician 208M00000X 25MA07992200 NJ
Hospitalist Physician 208M00000X MD444320 PA Primary

Addresses

Primary practice location

169 Martin Ave
Ephrata, PA 17522-1734

Mailing address

565 Coal Valley Rd
Jefferson Hills, PA 15025-3703
Phone (412) 267-6810

Other practice location 1

100 Medical Blvd
Canonsburg, PA 15317-9762
Phone (412) 359-3030

Other practice location 2

252 S 4th St Fl 2
Lebanon, PA 17042-6111
Phone (717) 270-4876

Other identifiers 2

IdentifierTypeStateIssuer
204494301MedicaidTX
204494302MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120706000459 PA Practitioner - HospitalistPractitioner - Internal Medicine 8527012442 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

169 Martin Ave
Ephrata, PA 17522-1724
Phone (717) 721-4740

255 W Lancaster Ave
Paoli, PA 19301-1763
Phone (484) 337-4097

Hospital & facility affiliations

  • Paoli Hospital Hospital, Paoli, PA, CCN 390153
  • Wellspan Ephrata Community Hospital Hospital, Ephrata, PA, CCN 390225
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Bryn Mawr Hospital Hospital, Bryn Mawr, PA, CCN 390139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD444320PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Chester County Hospital CurrentSince Sep 1, 2013 Accepting new patients
Upmc Altoona CurrentSince Apr 1, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Jul 8, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Jul 8, 2024 Accepting new patients
Upmc Altoona CurrentSince Apr 1, 2024 Accepting new patients
Main Line Healthcare Internal Medicine CurrentSince Dec 12, 2023 Accepting new patients
Chester County Hospital CurrentSince Sep 1, 2013 Accepting new patients
Allegheny Clinic Internal Medicine CurrentSince Jan 24, 2022 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Allegheny Clinic CurrentSince Jan 24, 2022 Accepting new patients

Locations

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

100 Medical Blvd
Canonsburg, PA 15317
Phone (412) 359-4138

169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311

631 N Broad Street Ext
Grove City, PA 16127
Phone (724) 450-7000

565 Coal Valley Rd
Jefferson Hls, PA 15025
Phone (412) 469-5308

252 S 4th St
Fl 2
Lebanon, PA 17042
Phone (717) 270-3751

255 W Lancaster Ave
Paoli, PA 19301
Phone (484) 337-4286

4800 Friendship Ave
Pittsburgh, PA 15224
Phone (412) 359-3030

97 Delaware Ave
Ste 103
Uniontown, PA 15401
Phone (412) 267-6255

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

Interoperability endpoints

  • Direct secure messaging: egoldhammer431866@wellspan.direct-ci.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1053353987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 COAL VALLEY RD",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253703",
            "telephone_number": "412-267-6810",
            "fax_number": "412-267-6817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MARTIN AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221734",
            "telephone_number": "717-721-4740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Medical Blvd",
            "address_purpose": "LOCATION",
            "city": "Canonsburg",
            "state": "PA",
            "postal_code": "153179762",
            "country_code": "US",
            "telephone_number": "412-359-3030",
            "fax_number": "412-359-3060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "252 S 4th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170426111",
            "country_code": "US",
            "telephone_number": "717-270-4876",
            "fax_number": "717-270-3875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDHAMMER",
        "first_name": "ELAINE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N3051",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD444320",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "N3051",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NJ",
            "license": "25MA07992200",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD444320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204494301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204494302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, PA

Sources for this page

Verify at the official NPI Registry.