Individual provider Active NPI

Andrew M Farabaugh, M.D.

  • Family Medicine Physician
  • York, PA
National Provider Identifier
1093034845
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD448034 Issued in PA
Practice address
2775 N George St
York, PA 17406-3020
Phone
(717) 812-7300
Fax
(717) 845-4625
NPI assigned
May 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT196767 PA
Family Medicine Physician 207Q00000X MD448034 PA Primary

Addresses

Primary practice location

2775 N George St
York, PA 17406-3020

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 812-7300

Other identifiers 3

IdentifierTypeStateIssuer
102835020MedicaidPA
2897435OtherPAHIGHMARK BLUE SHIELD
420538OtherPAUPMC

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
I20130720000106 PA Practitioner - Family Practice 9739320557 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pennsylvania State University College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

2775 N George St
Wellspan Family Medicine Hayshire
York, PA 17402-3020
Phone (717) 812-7300

Hospital & facility affiliations

  • Wellspan Vna Home Care Home health agency, York, PA, CCN 397004
  • Wellspan York Hospital Hospital, York, PA, CCN 390046

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT196767PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
York Hospital Current Accepting new patients
Wellspan Medical Group Family Medicine CurrentSince Aug 19, 2013 Accepting new patients
Wellspan Medical Group Current Accepting new patients
York Hospital CurrentSince Jan 22, 2014 Accepting new patients
Wellspan Medical Group CurrentSince Aug 19, 2013 Accepting new patients

Locations

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

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

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

2775 N George St
York, PA 17406
Phone (717) 812-7300

605 S George St
Ste 200
York, PA 17401
Phone (717) 851-2334

Interoperability endpoints

  • Direct secure messaging: afarabaugh13945@wellspan.direct-ci.com

Organizations & group practices 5

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 5

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": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1093034845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-812-7300",
            "fax_number": "717-845-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 N GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174063020",
            "telephone_number": "717-812-7300",
            "fax_number": "717-845-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARABAUGH",
        "first_name": "ANDREW",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-19",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT196767",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD448034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102835020",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "2897435",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "420538",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.