Baxter Drew Wellmon II D.O.,P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS009662L Issued in PA

Legal business name

BAXTER DREW WELLMON II D.O.,P.C.

Practice address

97 Progress Blvd
Suite 1
Shippensburg, PA 17257-8131

Phone

(717) 532-3211

Fax

(717) 532-3099

NPI assigned

Mar 14, 2007

Last updated

Dec 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Baxter Drew Wellmon II, D.O.NPI 1518007020

Title

Owner

Phone

(717) 532-3211

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 5

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.

• Baxter Drew Wellmon II, DO

  • Family Medicine Physician
  • Shippensburg, PA
  • NPI 1518007020
  Medicare reassignment Care Compare group NPD Authorized official
• Tracey Buchheister, PA-C

  • Physician Assistant
  • Shippensburg, PA
  • NPI 1356434039
  Medicare reassignment Care Compare group
• Valerie Frandsen Goates, PA-C

  • Physician Assistant
  • Mount Holly Springs, PA
  • NPI 1760900245
  Medicare reassignment Care Compare group
• Nathan Petula, PA-C

  • Physician Assistant
  • Shippensburg, PA
  • NPI 1245363365
  Medicare reassignment Care Compare group
• Michele M Knepper, CRNP

  • Nurse Practitioner
  • Mechanicsburg, PA
  • NPI 1376783159
  NPD

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1356474456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 PROGRESS BLVD",
            "address_2": "SUITE 1",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172578131",
            "telephone_number": "717-532-3211",
            "fax_number": "717-532-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 PROGRESS BLVD",
            "address_2": "SUITE 1",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172578131",
            "telephone_number": "717-532-3211",
            "fax_number": "717-532-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAXTER DREW WELLMON II D.O.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "WELLMON",
        "authorized_official_first_name": "BAXTER",
        "authorized_official_middle_name": "DREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-532-3211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS009662L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Cecil Baker, PH.D.
• Maura Beth Balafoutas, CSR, RD, LDN
• Timothy Barcomb
• Mark Ryan Barnes, CRNP
• Brianna Basilio Reed
• BCC Shippensburg Operations, LLC (Elmcroft of Shippensburg)
• Whitney Briana Bender
• Heather Ruth Bercot, CCC/SLP
• Steven Asbury Black
• Thomas Edward Blount, DPT

• Family Medicine Physician in Shippensburg, PA
• Providers in Shippensburg, 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 Dec 10, 2008; 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.