Annville Family Medicine, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ANNVILLE FAMILY MEDICINE, PC

Practice address

475 N Weaber St
Annville, PA 17003-1104

Phone

(717) 867-4671

NPI assigned

Jan 16, 2006

Last updated

Dec 3, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Velma A Nickliss

Title

Office Manager

Phone

(717) 867-4671

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Garth E Auten, PA-C

  • Medical Physician Assistant
  • Annville, PA
  • NPI 1609870203
  NPD (past)

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1477532653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 N WEABER ST",
            "city": "ANNVILLE",
            "state": "PA",
            "postal_code": "170031104",
            "telephone_number": "717-867-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 N WEABER ST",
            "city": "ANNVILLE",
            "state": "PA",
            "postal_code": "170031104",
            "telephone_number": "717-867-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNVILLE FAMILY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "NICKLISS",
        "authorized_official_first_name": "VELMA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "717-867-4671"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100935901",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Altrix Home Healthcare
• Annville Dental Group PLLC
• Annville-Cleona School District
• Jennifer Arnold
• Garth E Auten, PA-C
• Julianne K Battistelli, RD, LDN
• Garrett Becker

• Family Medicine Physician in Annville, PA
• Providers in Annville, 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 Dec 3, 2009; 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.