Fredericksburg Community Health Center PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FREDERICKSBURG COMMUNITY HEALTH CENTER PC

Practice address

120 S. Tan St.
Suite 1
Fredericksburg, PA 17026

Phone

(717) 865-6644

Fax

(717) 865-7321

NPI assigned

Oct 28, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Myron D Miller, MD

Title

President of Corp

Phone

(717) 865-6644

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Jonestown Health Center Other name

Locations

Practitioners 2

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

• Chantelle K Gastinger, PA-C

  • Physician Assistant
  • Exton, PA
  • NPI 1619925708
  NPD (past)
• Samy B Gergis, MD

  • Family Medicine Physician
  • York, PA
  • NPI 1780683300
  NPD (past)

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1215927322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "FREDERICKSBURG",
            "state": "PA",
            "postal_code": "170260009",
            "telephone_number": "717-865-6644",
            "fax_number": "717-865-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S. TAN ST.",
            "address_2": "SUITE 1",
            "city": "FREDERICKSBURG",
            "state": "PA",
            "postal_code": "17026",
            "telephone_number": "717-865-6644",
            "fax_number": "717-865-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICKSBURG COMMUNITY HEALTH CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MYRON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT OF CORP",
        "authorized_official_telephone_number": "717-865-6644",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1520462",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018501090001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "02377200",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CH6940",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jonestown Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Matthew D Ditzler, D.P.T.
• Drayer Physical Therapy Institute LLC
• Jessica Erb, CRNP
• Fburg Chiro LLC
• Heather M Forry, RN
• Fredericksburg Community Health Center, P.C.
• Fredericksburg Dental Center, LLC
• Fredericksburg Family Eyecare, P.C.
• Patricia Golembiewski, C.R.N.P.
• Monika H Groff, OD

• Family Medicine Physician in Fredericksburg, PA
• Providers in Fredericksburg, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.