Organization Active NPI

Evangelical Medical Services Organization

Doing business as WellSpan Behavioral Health

  • Surgery Physician
  • Lewisburg, PA
National Provider Identifier
1205928967
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
EVANGELICAL MEDICAL SERVICES ORGANIZATION
Doing business as
WellSpan Behavioral Health
WellSpan Endocrinology
WellSpan Heart & Vascular Center10 more in Other names
Practice address
3 Hospital Dr Ste 100
Lewisburg, PA 17837-9394
Phone
(570) 524-5056
NPI assigned
Sep 29, 2006
Last updated
Mar 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

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 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

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

Other NPIs on the same Medicare enrollment 7

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

National Provider Directory

National Provider Directory

Member of 1

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

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.

View all 397

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

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.

Verify at the official NPI Registry.