Proactive MD Penn PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PROACTIVE MD PENN PC

Practice address

65 Billerbeck St
New Oxford, PA 17350-9375

Phone

(864) 501-0751

NPI assigned

Sep 22, 2021

Organization subpart

No

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

Authorized official

Name

Mark Kemble, MD

Title

Cmo

Phone

(864) 640-8355

Specialties & licenses 1

Addresses

Other names 1

• Lincoln Intermediate Health Center New Oxford Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Proactive MD4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Proactive MD Penn PC

  • Primary Care Clinic/Center
  • Chambersburg, PA
  • NPI 1386403046
  NPD tax ID
• Proactive MD Penn PC

  • Primary Care Clinic/Center
  • York, PA
  • NPI 1417619842
  NPD tax ID
• Proactive MD Penn PC

  • Primary Care Clinic/Center
  • Greenville, SC
  • NPI 1326612763
  NPD tax ID

Locations

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1457022204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 VILLA RD STE 100",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153052",
            "telephone_number": "864-640-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 BILLERBECK ST",
            "city": "NEW OXFORD",
            "state": "PA",
            "postal_code": "173509375",
            "telephone_number": "864-501-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE MD PENN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-22",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "KEMBLE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "864-640-8355",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln Intermediate Health Center New Oxford",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lincoln Intermediate Health Center New Oxford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pinnacle Health Medical Services
• Pinnacle Health Medical Services
• Pinnacle Health Medical Services
• Mary Pivirotto, PT
• Kelsey Louise Plum, PTA
• Anne D. Quinn, M.D.
• Krista L Rafferty, PA
• Stacy L Reese, COTA/L
• Rite Aid of Pennsylvania LLC
• Ashleigh Robertson

• Primary Care Clinic/Center in New Oxford, PA
• Providers in New Oxford, PA by specialty
• Primary Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.