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Evangelical Medical Services Organization

Organization Active NPI Surgery Physician · Lewisburg, PA

NPI 1205928967 · NPPES record last updated Mar 2, 2026

Key facts

NPI
1205928967
Entity type
Organization (NPI type 2)
Primary specialty
Surgery Physician 208600000X
Legal business name
EVANGELICAL MEDICAL SERVICES ORGANIZATION
Practice address
3 Hospital Dr Ste 100
Lewisburg, PA 17837-9394
Phone
(570) 524-5056
NPI assigned
Sep 29, 2006
Organization subpart
No

Authorized official

Name
Allen Fasnacht
Title
Senior Vice President/President
Phone
(570) 522-2807

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 397

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

View all 397

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in PA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040310000212 PA Part B Supplier - Clinic/Group Practice 9133033087 Receives reassigned benefits from 372 practitioners
7 other NPIs on this enrollment
Practice locations: Lewisburg, PA; Middleburg, PA; Mifflinburg, PA; Milton, PA; New Columbia, PA; Northumberland, PA; Selinsgrove, PA; Shamokin Dam, PA…
O20141031002152 PA DME Supplier - Multi-Specialty - Physician 9133033087 Practice locations: Lewisburg, PA

National Provider Directory

Locations

3 Hospital Dr
Ste 122
Lewisburg, PA 17837
Phone (570) 524-1199

3 Hospital Dr
Ste 204
Lewisburg, PA 17837
Phone (570) 522-2990

210 Jpm Rd
Ste 202
Lewisburg, PA 17837
Phone (570) 522-4200

90 Medical Park Dr
Ste 2000
Lewisburg, PA 17837
Phone (570) 524-2722

412 Market St
Lewisburg, PA 17837

210 Jpm Rd
Ste 2014
Lewisburg, PA 17837
Phone (570) 522-4200

964 Carpenter Rd
Milton, PA 17847
Phone (570) 742-2300

21 Susquehanna Valley Mall Dr
Ste B
Selinsgrove, PA 17870

457 River Ave
Williamsport, PA 17701
Phone (570) 323-7246

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207LP2900X PA
Obesity Medicine (Internal Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RB0002X
Cardiovascular Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RC0000X
Critical Care Medicine (Internal Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RC0200X
Endocrinology, Diabetes & Metabolism Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RE0101X
Hospice and Palliative Medicine (Internal Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RH0002X
Nephrology Physician 207RN0300X
Rheumatology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RR0500X PA
Obstetrics & Gynecology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207V00000X
Orthopaedic Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207X00000X
Otolaryngology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Y00000X
Neurology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2084N0400X PA
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208600000X Yes
Urology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208800000X
Hospitalist Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208M00000X PA

Addresses

Primary practice location

3 Hospital Dr Ste 100
Lewisburg, PA 17837-9394

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

1 Hospital Dr
Lewisburg, PA 17837-9350
Phone (570) 522-2000

Other practice location 2

90 Medical Park Dr Ste 2000
Lewisburg, PA 17837-6343
Phone (570) 524-2722

Other practice location 3

289 S Market St
Elysburg, PA 17824-9737
Phone (570) 768-4646

Other practice location 4

80 Medical Park Dr
Lewisburg, PA 17837-6343
Phone (570) 768-4646

Other identifiers

IdentifierTypeStateIssuer
118438703OtherPADEPARTMENT OF LABOR
2024199OtherPABLUE SHIELD
50062131OtherPACAPITAL BLUE CROSS
1007498260052MedicaidPA
CA5965OtherPARAILROAD MEDICARE

Other names

  • WellSpan Behavioral Health Doing business as
  • WellSpan Endocrinology Doing business as
  • WellSpan Heart & Vascular Center Doing business as
  • WellSpan Hospitalists Doing business as
  • WellSpan Nephrology Doing business as
  • WellSpan OB/GYN Doing business as
  • WellSpan Orthopedics Doing business as
  • WellSpan Pain Management Doing business as
  • WellSpan Palliative and Supportive Care Doing business as
  • WellSpan Rheumatology Doing business as
  • WellSpan Surgical Specialists Doing business as
  • WellSpan Urology Doing business as
  • WellSpan Wound Care Center Doing business as

Other providers in Lewisburg, PA

All providers in Lewisburg, PA · Surgery Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.