West Cornwall Family Practice, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WEST CORNWALL FAMILY PRACTICE, P.C.

Practice address

101 Fairview Cir
Lebanon, PA 17042-9581

Phone

(717) 279-7303

Fax

(717) 279-7471

NPI assigned

Apr 4, 2006

Organization subpart

No

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

Authorized official

Name

Carol L Bishop

Title

Office Manager

Phone

(717) 279-7303

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1376505487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FAIRVIEW CIR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170429581",
            "telephone_number": "717-279-7303",
            "fax_number": "717-279-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FAIRVIEW CIR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170429581",
            "telephone_number": "717-279-7303",
            "fax_number": "717-279-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CORNWALL FAMILY PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "717-279-7303"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "1583098",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1519902",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "03202300",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethany Morgan Wentling
• Robert O Wentling Jr., MS,OTR/L
• Samantha Robin Wertheimer, PSYD.
• Robert G Wertz, DDS.,
• Robert George Wertz Jr., D.M.D.
• Daniel Westerman, LCSW
• Ann Elizabeth Weyand
• Lorraine Maria Wharton-Mohammed, MD
• Kelly Ann Wheeler, CRNP, AGPCNP-BC
• White Deer Run, LLC

• Family Medicine Physician in Lebanon, PA
• Providers in Lebanon, 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 Jul 21, 2022; 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.