Active NPI
Evangelical Medical Services Organization
Doing business as WellSpan Behavioral Health
- Surgery Physician
- Lewisburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- EVANGELICAL MEDICAL SERVICES ORGANIZATION
- Doing business as
- WellSpan Behavioral Health
WellSpan Endocrinology
WellSpan Heart & Vascular Center - Practice address
- 3 Hospital Dr Ste 100
Lewisburg, PA 17837-9394 - Phone
- (570) 524-5056
- NPI assigned
- Sep 29, 2006
- Last updated
- Mar 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Allen Fasnacht
- Title
- Senior Vice President/President
- Phone
- (570) 522-2807
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | PA | ||
| Obesity Medicine (Internal Medicine) Physician | 207RB0002X | |||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | |||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | |||
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | |||
| Nephrology Physician | 207RN0300X | |||
| Rheumatology Physician | 207RR0500X | PA | ||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Orthopaedic Surgery Physician | 207X00000X | |||
| Otolaryngology Physician | 207Y00000X | |||
| Neurology Physician | 2084N0400X | PA | ||
| Surgery Physician | 208600000X | Primary | ||
| Urology Physician | 208800000X | |||
| Hospitalist Physician | 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
90 Medical Park Dr Ste 2000
Lewisburg, PA 17837-6343
Phone (570) 524-2722
Other practice location 2
289 S Market St
Elysburg, PA 17824-9737
Phone (570) 768-4646
Other practice location 3
80 Medical Park Dr
Lewisburg, PA 17837-6343
Phone (570) 768-4646
Other practice location 4
1 Hospital Dr
Lewisburg, PA 17837-9350
Phone (570) 522-2000
Other names 13
- WellSpan Behavioral Health
- WellSpan Endocrinology
- WellSpan Heart & Vascular Center
- WellSpan Hospitalists
- WellSpan Nephrology
- WellSpan OB/GYN
- WellSpan Orthopedics
- WellSpan Pain Management
- WellSpan Palliative and Supportive Care
- WellSpan Rheumatology
- WellSpan Surgical Specialists
- WellSpan Urology
- WellSpan Wound Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
Other NPIs on the same Medicare enrollment 7
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba WellSpan Emergency Medicine
- Emergency Medicine Physician
- Lewisburg, PA
- NPI 1073613345
O20040310000212
-
dba WellSpan Urology
- Urology Physician
- Lewisburg, PA
- NPI 1083412084
O20040310000212
-
dba WellSpan Anesthesiology
- Anesthesiology Physician
- Lewisburg, PA
- NPI 1205206943
O20040310000212
-
dba WellSpan Family Medicine
- Family Medicine Physician
- Lewisburg, PA
- NPI 1295834984
O20040310000212
-
dba EMSO Pathology Group
- Anatomic Pathology Physician
- Lewisburg, PA
- NPI 1508966722
O20040310000212
-
dba WellSpan Behavioral Health
- Clinical Psychologist
- Lewisburg, PA
- NPI 1720187370
O20040310000212
-
dba Urgent Care of Evangelical
- Urgent Care Clinic/Center
- Lewisburg, PA
- NPI 1942227632
O20040310000212
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba WellSpan Evangelical Community Hospital
- Rehabilitation Hospital
- Lewisburg, PA
- NPI 1326096744
Member Of
Locations
210 Jpm Rd
Ste 2014
Lewisburg, PA 17837
Phone (570) 522-4200
210 Jpm Rd
Ste 202
Lewisburg, PA 17837
Phone (570) 522-4200
210 Jpm Rd
Ste 300
Lewisburg, PA 17837
3 Hospital Dr
Ste 212
Lewisburg, PA 17837
Phone (570) 522-9771
3 Hospital Dr
Ste 216
Lewisburg, PA 17837
Phone (570) 523-8700
412 Market St
Lewisburg, PA 17837
900 Buffalo Rd
Lewisburg, PA 17837
Phone (570) 522-1177
191 Roosevelt Ave
Ste 2000
Selinsgrove, PA 17870
435 River Ave
Ste 2
Williamsport, PA 17701
Practitioners & affiliated clinicians
Practitioners 397
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- York, PA
- NPI 1285983684
-
- Family Nurse Practitioner
- Lewisburg, PA
- NPI 1972193357
-
- Endocrinology, Diabetes & Metabolism Physician
- Lewisburg, PA
- NPI 1568432136
-
- Neurology Physician
- Lewisburg, PA
- NPI 1518354091
-
- Gastroenterology Physician
- Edwardsville, PA
- NPI 1093908113
-
- Critical Care Medicine (Internal Medicine) Physician
- Lewisburg, PA
- NPI 1245204395
-
- Surgery Physician
- Lewisburg, PA
- NPI 1891962031
-
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Lewisburg, PA
- NPI 1538183892
-
- Anesthesiology Physician
- Beaver, PA
- NPI 1619911591
-
- Nurse Practitioner
- Danville, PA
- NPI 1235770702
-
- Neurology Physician
- Danville, PA
- NPI 1467695437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772409600000",
"number": "1205928967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 MEMORY LN",
"city": "YORK",
"state": "PA",
"postal_code": "174022231",
"telephone_number": "717-851-1405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 HOSPITAL DR STE 100",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "178379394",
"telephone_number": "570-524-5056"
}
],
"practiceLocations": [
{
"address_1": "90 Medical Park Dr Ste 2000",
"address_purpose": "LOCATION",
"city": "Lewisburg",
"state": "PA",
"postal_code": "178376343",
"country_code": "US",
"telephone_number": "570-524-2722",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "289 S Market St",
"address_purpose": "LOCATION",
"city": "Elysburg",
"state": "PA",
"postal_code": "178249737",
"country_code": "US",
"telephone_number": "570-768-4646",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "80 Medical Park Dr",
"address_purpose": "LOCATION",
"city": "Lewisburg",
"state": "PA",
"postal_code": "178376343",
"country_code": "US",
"telephone_number": "570-768-4646",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Lewisburg",
"state": "PA",
"postal_code": "178379350",
"country_code": "US",
"telephone_number": "570-522-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EVANGELICAL MEDICAL SERVICES ORGANIZATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-29",
"last_updated": "2026-03-02",
"certification_date": "2026-03-02",
"status": "A",
"authorized_official_last_name": "FASNACHT",
"authorized_official_first_name": "ALLEN",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT/PRESIDENT",
"authorized_official_telephone_number": "570-522-2807"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "207RB0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Obesity Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": "PA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "WellSpan Behavioral Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "WellSpan Endocrinology",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "WellSpan Heart & Vascular Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "WellSpan Hospitalists",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "WellSpan Nephrology",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "WellSpan OB/GYN",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "WellSpan Orthopedics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "WellSpan Pain Management",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "WellSpan Palliative and Supportive Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "WellSpan Rheumatology",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "WellSpan Surgical Specialists",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "WellSpan Urology",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "WellSpan Wound Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lewisburg, PA
- Evangelical Community Hospital Pharmacy & Home Care Products Inc. (Home Care Products)
- Evangelical Community Hospital Pharmacy and Homecare Products, Inc. (Homecare Pharmacy)
- Evangelical Medical Services Organization (WellSpan Emergency Medicine)
- Evangelical Medical Services Organization (WellSpan Urology)
- Evangelical Medical Services Organization (WellSpan Anesthesiology)
- Evangelical Medical Services Organization (WellSpan Family Medicine)
- Evangelical Medical Services Organization (Behavioral Health of Evangelical)
- Evangelical Medical Services Organization (EMSO Pathology Group)
- Evangelical Medical Services Organization (EMSO Evan Family Medicine Lab)
- Evangelical Medical Services Organization (WellSpan Behavioral Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.