Three Angels Family Practice & Wellness Center, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

THREE ANGELS FAMILY PRACTICE & WELLNESS CENTER, LLC

Practice address

1249 Cocoa Ave
Hershey, PA 17033-3700

Phone

(717) 462-2590

NPI assigned

Nov 15, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Danette J Joseph, MDNPI 1447325204

Title

MD/Owner

Phone

(717) 462-2590

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25205/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Danette J Joseph, M.D.

  • Family Medicine Physician
  • York, PA
  • NPI 1447325204
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1205592250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 COCOA AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170333700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 COCOA AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170333700",
            "telephone_number": "717-462-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE ANGELS FAMILY PRACTICE & WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "DANETTE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "717-462-2590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Thompson, MD
• Carla Marie Thomsen, PA-C
• Amanda Thornton
• Jacqueline Thoryk, CRNP
• Sherry Zalewski Thrash, RD LDN CNSC
• Daniel Ray Thrush, ATC, PA-C
• Karen Thrush, LMFT
• Kelly L Thrush, CRNP
• Abigail C Thurston, CRNA
• Denita M Tiberie, LCSW

• Health Service Clinic/Center in Hershey, PA
• Providers in Hershey, PA by specialty
• Health Service Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.