Constanta T Ebro-Prokesh, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OSO14851 Issued in PA

Practice address

1137 W Penn Ave
Womelsdorf, PA 19567-9770

Phone

(610) 589-2555

Fax

(610) 589-4940

NPI assigned

Apr 7, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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

• Tower Health Medical Group

  • Internal Medicine Physician
  • Birdsboro, PA
  • NPI 1609291350
  Medicare reassignment
• Tower Health Medical Group

  • Pediatrics Physician
  • West Reading, PA
  • NPI 1215200175
  NPD
• Tower Health Medical Group

  • Surgery Physician
  • Wyomissing, PA
  • NPI 1831954353
  NPD
• MD at Home, Inc

  • Adult Medicine Physician
  • York, PA
  • NPI 1578518015

  Family Medicine

  NPD (past)
• Memorial Enterprises Inc

  • Family Medicine Physician
  • York, PA
  • NPI 1275734345
  NPD (past)

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1417272014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 W PENN AVE",
            "city": "WOMELSDORF",
            "state": "PA",
            "postal_code": "195679770",
            "telephone_number": "610-589-2555",
            "fax_number": "610-589-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBRO-PROKESH",
        "first_name": "CONSTANTA",
        "middle_name": "T",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-07",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OSO14851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conrad Weiser Medical Group P.C.
• Lauren Cordon, CPD, CLD (CBI)
• Curious Roots Wellness, LLC
• Christine M Dalton, COTA/L
• Scott A Dietrich, M.D.
• Susan Nast Farrell, C.N.M.
• Emily Yoder Frantz, MMT, MT-BC, LCAT
• Aidon Fritsch
• Shauna Lyn Haak
• Kris Lester Hepler

• Family Medicine Physician in Womelsdorf, PA
• Providers in Womelsdorf, 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 May 6, 2016; 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.

Verify at the official NPI Registry.