Individual provider Active NPI

Karen J Reedy, PA-C

  • Surgical Physician Assistant
  • York, PA
National Provider Identifier
1235192808
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA054384 Issued in PA
Practice address
2058 S Queen St
York, PA 17403-4829
Phone
(888) 520-5060
Fax
(717) 812-3950
NPI assigned
Apr 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X C0001458 MD
Surgical Physician Assistant 363AS0400X MA054384 PA Primary

Addresses

Primary practice location

2058 S Queen St
York, PA 17403-4829

Mailing address

1803 Mt Rose Ave
Suite B3
York, PA 17403-3051
Phone (717) 851-1405

Other identifiers 2

IdentifierTypeStateIssuer
2557694OtherPAHIGHMARK BLUE SHIELD-FREEDOM BLUE
1602514OtherPAGATEWAY MEDICARE ASSURED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110107000199 PA Practitioner - Physician Assistant 9537158142 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA054384PAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince May 28, 2023 Accepting new patients
Lancaster General Medical Group CurrentSince May 28, 2023 Accepting new patients
Wellspan Medical Group Past Accepting new patients
Lancaster General Medical Group Past Accepting new patients
Dresnick Sterling Emergency Physicians of Maryland PA Past Accepting new patients

Locations

306 N 7th St
Columbia, PA 17512
Phone (717) 684-1500

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

955 E King St
Lancaster, PA 17602
Phone (717) 394-8908

505 Historic Dr
Strasburg, PA 17579
Phone (717) 464-1957

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1235192808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 MT ROSE AVE",
            "address_2": "SUITE B3",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033051",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2058 S QUEEN ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034829",
            "telephone_number": "888-520-5060",
            "fax_number": "717-812-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEDY",
        "first_name": "KAREN",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C0001458",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA054384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD-FREEDOM BLUE",
            "identifier": "2557694",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY MEDICARE ASSURED",
            "identifier": "1602514",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.