Organization Active NPI

Waynesboro Family Medical Associates, LLP

  • Family Medicine Physician
  • Blue Ridge Summit, PA
National Provider Identifier
1467511576
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WAYNESBORO FAMILY MEDICAL ASSOCIATES, LLP
Practice address
14961 Buchanan Trail East
Blue Ridge Summit, PA 17214
Phone
(717) 762-9118
Fax
(717) 762-2860
NPI assigned
Dec 6, 2006
Last updated
Sep 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Authorized official

Name
Linda L. Martin
Title
Office Manager
Phone
(717) 762-9118

Specialties & licenses 1

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

Addresses

Primary practice location

14961 Buchanan Trail East
Blue Ridge Summit, PA 17214

Mailing address

1051 E Main St
Suite 1
Waynesboro, PA 17268-2381
Phone (717) 762-9118

Other identifiers 1

IdentifierTypeStateIssuer
1007427810002MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Waynesboro Family Medical Associates LLP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1467511576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 E MAIN ST",
            "address_2": "SUITE 1",
            "city": "WAYNESBORO",
            "state": "PA",
            "postal_code": "172682381",
            "telephone_number": "717-762-9118",
            "fax_number": "717-762-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14961 BUCHANAN TRAIL EAST",
            "city": "BLUE RIDGE SUMMIT",
            "state": "PA",
            "postal_code": "17214",
            "telephone_number": "717-762-9118",
            "fax_number": "717-762-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNESBORO FAMILY MEDICAL ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "717-762-9118"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007427810002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ridge Summit, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.