NPIMap

Individual provider Active NPI

Nadege Toubou Fackche, M.D.

  • Surgical Oncology Physician
  • York, PA
National Provider Identifier
1194110684
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
MD486880 Issued in PA
Practice address
1001 S George St
York, PA 17403-3676
Phone
(717) 851-2345
NPI assigned
Apr 1, 2015
Sex
Female
Sole proprietor
Yes

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 18

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

View all 18

Care Compare profile

Medicare Care Compare
Specialty
Surgical Oncology
Education
University of South Carolina School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellspan Medical Group 2,438 clinicians

Practice addresses (Care Compare)

25 Monument Rd
Suite 295
York, PA 17403-5049
Phone (717) 851-6120

Hospital & facility affiliations

  • Wellspan Vna Home Care Home health agency, York, PA, CCN 397004
  • Wellspan York Hospital Hospital, York, PA, CCN 390046
  • Gettysburg Hospital Hospital, Gettysburg, PA, CCN 390065
  • Wellspan Chambersburg Hospital Hospital, Chambersburg, PA, CCN 390151
  • Wellspan Ephrata Community Hospital Hospital, Ephrata, PA, CCN 390225
  • Wellspan Waynesboro Hospital Hospital, Waynesboro, PA, CCN 390138

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision28
Skin biopsy1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, PA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20171018001559 MD Practitioner - General Surgery 4981970951 Reassigns benefits to 1 organization
I20180213000499 DC Practitioner - General Practice 4981970951 Reassigns benefits to 1 organization
I20241113001889 PA Practitioner - Surgical Oncology 4981970951 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD486880PAMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group Current Accepting new patients
Northwest Hospital Center, Inc CurrentSince Nov 1, 2017 Accepting new patients
Wellspan Medical Group CurrentSince Nov 25, 2024 Accepting new patients
MNR Industries LLC Current Accepting new patients
MNR Industries, LLC CurrentSince Jan 23, 2018 Accepting new patients
Northwest Hospital Center, Inc. CurrentSince Nov 1, 2017 Accepting new patients
MNR Industries, LLC Current Accepting new patients
Wellspan Medical Group CurrentSince Nov 25, 2024 Accepting new patients
MNR Industries, LLC CurrentSince Jan 23, 2018 Accepting new patients
MNR Industries, LLC CurrentSince Jan 23, 2018 Accepting new patients
Wellspan Medical Group Past Accepting new patients

Locations

1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

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

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

25 Monument Rd
Ste 295
York, PA 17403
Phone (717) 356-5864

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

1001 S George St
York, PA 17403
Phone (717) 812-7687

Interoperability endpoints

  • Direct secure messaging: nfackche455889@wellspan.direct-ci.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X MD486880 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

1001 S George St
York, PA 17403-3676

Mailing address

1001 S George St
York, PA 17403-3676

Other names 1

NPPES NPI Registry
  • Nadya T Fackche Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 17, 2024.

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1194110684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033676",
            "telephone_number": "717-851-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACKCHE",
        "first_name": "NADEGE",
        "middle_name": "TOUBOU",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "PA",
            "license": "MD486880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NADYA",
            "last_name": "FACKCHE",
            "middle_name": "T",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.