Sandra Fowler, M.D.
Individual provider Active NPI Family Medicine Physician · Greencastle, PA
NPI 1417901752 · NPPES record last updated Feb 22, 2022
Key facts
- NPI
- 1417901752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- D0050738 (MD)
- Practice address
- 24 Antrim Commons Dr
Greencastle, PA 17225-1623 - Phone
- (717) 597-5553
- Fax
- (717) 597-5522
- NPI assigned
- May 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 25
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Temple University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Meritus Medical Center Inc
Wellspan Medical Group
Practice addresses (Care Compare)
11110 Medical Campus Rd
Hagerstown, MD 21742-6700
24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 255-0157
25 Monument Rd
York, PA 17403-5073
2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214
914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214
Hospital & facility affiliations
- Wellspan Vna Home Care
- Home Call
- Residential Home Health of Carlisle, LLC
- Advantage Home Health and Hospice
- Community Home Health Care, Inc.
- Wellspan Waynesboro Hospital
- Wellspan Chambersburg Hospital
- Gettysburg Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040212000758 | MD | Practitioner - Family Practice | 6901790542 | Reassigns benefits to 1 organization |
| I20120911000283 | PA | Practitioner - Family Practice | 6901790542 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0050738 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current |
Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current |
Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Meritus Urgent Care LLC | Past | Accepting new patients | |
| Meritus Urgent Care LLC | Past | Accepting new patients | |
| Washington County Emergency Medicine Physicians, LLC | Past | Accepting new patients | |
| Wellspan Medical Group | Family Medicine | Past | Accepting new patients |
| Meritus Urgent Care, LLC | Past | Accepting new patients |
Locations
11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600
3106 Philadelphia Ave
Chambersburg, PA 17201
Phone (717) 264-3644
24 Antrim Commons Dr
Greencastle, PA 17225
Phone (717) 593-0512
501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400
1600 S George St
York, PA 17403
Phone (717) 848-3615
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
Interoperability endpoints
- sfowler297221@wellspan.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0050738 | MD | Yes |
Addresses
Primary practice location
24 Antrim Commons Dr
Greencastle, PA 17225-1623
Mailing address
785 5TH Ave Ste 3
Chambersburg, PA 17201-4232
Phone (717) 263-9555
Other practice location 1
11110 Medical Campus Rd Ste 200
Hagerstown, MD 21742-6797
Phone (301) 714-4400
Other practice location 2
3106 Philadelphia Ave
Chambersburg, PA 17201-8938
Phone (717) 264-3644
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 415601000 | Medicaid | MD | |
| 785200200 | Medicaid | MD | |
| P00150022 | Other | MD | RAILROAD |
Other providers in Greencastle, PA
- Sandra Lynn Fink- Freeman
- Michael Stephen Fitzpatrick
- Foot and Ankle Specialists of the Mid-Atlantic, LLC
- Christine Force
- Amanda Foster
- Emily Freeman
- Deborah L Geiger
- Nina Friant Geiger
- Rebekah Gelsinger
- Genesis Rehabilitation
All providers in Greencastle, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.