Organization Active NPI

Gettysburg Osteopathic Family Health Center PC

  • Family Medicine Physician
  • Gettysburg, PA
National Provider Identifier
1407097405
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS013224 Issued in PA
Legal business name
GETTYSBURG OSTEOPATHIC FAMILY HEALTH CENTER PC
Practice address
2311 Fairfield Rd
Suite E
Gettysburg, PA 17325-6309
Phone
(717) 818-4100
NPI assigned
Mar 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2009

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

Authorized official

Name
Dr. Robert L Mauss, DONPI 1366470916
Title
President
Phone
(717) 818-4100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS013224 PA Primary

Addresses

Primary practice location

2311 Fairfield Rd
Suite E
Gettysburg, PA 17325-6309

Mailing address

400 Oak Hill Rd
Biglerville, PA 17307-9785
Phone (717) 818-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090601000054 PA Part B Supplier - Clinic/Group Practice 6204985815 Receives reassigned benefits from 2 practitioners
Practice locations: Gettysburg, PA

National Provider Directory

National Provider Directory

Locations

28 Apple Ave
Gettysburg, PA 17325
Phone (717) 334-2233

2311 Fairfield Rd
Ste E
Gettysburg, PA 17325
Phone (717) 334-4481

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1407097405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 OAK HILL RD",
            "city": "BIGLERVILLE",
            "state": "PA",
            "postal_code": "173079785",
            "telephone_number": "717-818-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 FAIRFIELD RD",
            "address_2": "SUITE E",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173256309",
            "telephone_number": "717-818-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GETTYSBURG OSTEOPATHIC FAMILY HEALTH CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-20",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "MAUSS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-818-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS013224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.