Active NPI
Benjamin Thomas Judd, PHYSICIAN ASSISTANT
- Medical Physician Assistant
- York, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA059686
- Practice address
- 2149 S Queen St
York, PA 17403-4845 - Phone
- (717) 356-4460
- Fax
- (717) 260-3326
- NPI assigned
- Jan 29, 2018
- Last updated
- Sep 23, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA059686 | PA | Primary |
Addresses
Primary practice location
2149 S Queen St
York, PA 17403-4845
Mailing address
2149 S Queen St
York, PA 17403-4845
Phone (717) 356-4460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA059686 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mep Observation Services LLC | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Centennial Medical Group, PA | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| WHC Emerg Phys | Current | Accepting new patients | |
| Centennial Medical Group, PA | Current | Accepting new patients | |
| First Call Medical Center LLC | Current | Accepting new patients | |
| Christiana Care Quality Partners | Past | Accepting new patients |
Locations
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203
3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200
6230 Old Dobbin Ln
Ste 230
Columbia, MD 21045
Phone (443) 312-2111
12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255
10981 Johns Hopkins Rd
Laurel, MD 20723
Phone (410) 694-7999
5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727
11355 Pembrooke Sq
Ste 108
Waldorf, MD 20603
Phone (202) 877-6733
1600 S George St
York, PA 17403
Phone (717) 848-3615
2149 S Queen St
York, PA 17403
Phone (717) 356-4460
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
Organizations & group practices 14
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.
-
- Family Medicine Physician
- Columbia, MD
- NPI 1134235039
-
- Emergency Medicine Physician
- Cumberland, MD
- NPI 1093003550
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
dba ChristianaCare GoHealth Urgent Care
- Urgent Care Clinic/Center
- Newark, DE
- NPI 1164061867
MD
-
dba First Call Urgent Care
- Urgent Care Clinic/Center
- Laurel, MD
- NPI 1841680766
-
- Emergency Medicine Physician
- Rockville, MD
- NPI 1164483558
-
dba AFC Urgent Care Edgewater
- Urgent Care Clinic/Center
- Edgewater, MD
- NPI 1174804918
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
dba Wellspan Family Medicine - Hayshire
- Family Medicine Physician
- York, PA
- NPI 1245308634
-
- Physical Therapy Clinic/Center
- Elkridge, MD
- NPI 1477338325
-
- Urgent Care Clinic/Center
- Columbia, MD
- NPI 1962269845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569196800000",
"number": "1285132878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2149 S QUEEN ST",
"city": "YORK",
"state": "PA",
"postal_code": "174034845",
"telephone_number": "717-356-4460",
"fax_number": "717-260-3326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2149 S QUEEN ST",
"city": "YORK",
"state": "PA",
"postal_code": "174034845",
"telephone_number": "717-356-4460",
"fax_number": "717-260-3326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUDD",
"first_name": "BENJAMIN",
"middle_name": "THOMAS",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-29",
"last_updated": "2019-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA059686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.