Individual provider Active NPI

Jon Bush, MD

  • Emergency Medicine Physician
  • Chambersburg, PA
National Provider Identifier
1245294099
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD427218 Issued in PA
Practice address
112 N 7TH St
Chambersburg, PA 17201-1720
Phone
(717) 267-7146
Fax
(717) 267-7728
NPI assigned
Apr 17, 2006
Last updated
Feb 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD427218 PA Primary

Addresses

Primary practice location

112 N 7TH St
Chambersburg, PA 17201-1720

Mailing address

26 Tia Cir
Mount Joy, PA 17552-9670

Other practice location 1

112 North 7th Street
Chambersburg, PA 17201-1700
Phone (717) 267-7146

Other practice location 2

501 E Main St
Waynesboro, PA 17268-2353
Phone (717) 765-3400

Other identifiers 1

IdentifierTypeStateIssuer
102229736MedicaidPA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060915000129 PA Practitioner - Emergency Medicine 2365447851 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Chambersburg HospitalGroup PAC ID 5496748303, 30 clinicians
Waynesboro HospitalGroup PAC ID 6305830936, 29 clinicians

Practice addresses (Care Compare)

112 N 7TH St
Chambersburg, PA 17201-1720

176 S Coldbrook Ave
The Chambersburg Hospital Psychiatric Outpa
Chambersburg, PA 17201-2714
Phone (717) 267-7480

501 E Main St
Hosp Emergency Dept
Waynesboro, PA 17268-2353
Phone (717) 762-7775

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD427218PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Chambersburg Hospital CurrentSince Jan 1, 2006 Accepting new patients
Waynesboro Hospital CurrentSince Apr 1, 2013 Accepting new patients
The Chambersburg Hospital CurrentSince Jan 1, 2006 Accepting new patients
Waynesboro Hospital Current Accepting new patients
Waynesboro Hospital Emergency Medicine CurrentSince Apr 1, 2013 Accepting new patients

Locations

112 N 7th St
Chambersburg, PA 17201
Phone (717) 217-4300

176 S Coldbrook Ave
Chambersburg, PA 17201
Phone (717) 263-0550

785 5th Ave
Ste 3
Chambersburg, PA 17201

501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400

Organizations & group practices 5

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1245294099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 TIA CIR",
            "city": "MOUNT JOY",
            "state": "PA",
            "postal_code": "175529670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N 7TH ST",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011720",
            "telephone_number": "717-267-7146",
            "fax_number": "717-267-7728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 North 7th Street",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011700",
            "country_code": "US",
            "telephone_number": "717-267-7146",
            "fax_number": "717-267-7728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682353",
            "country_code": "US",
            "telephone_number": "717-765-3400",
            "fax_number": "717-765-3408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSH",
        "first_name": "JON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD427218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102229736",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.