Jyothy Punnoose, D.O.

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

OS0019040 Issued in PA

Practice address

169 Martin Ave
Ephrata, PA 17522-1724

Phone

(717) 721-4740

Fax

(717) 738-6872

NPI assigned

Jun 30, 2014

Last updated

Sep 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Specialty

HospitalistAlso: Internal Medicine

Education

University of North Texas HSC, College of Osteopathic Med, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellspan Ephrata Community Hospital Hospital, Ephrata, PA, CCN 390225

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpunnoose269297@wellspan.direct-ci.com

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

• Wellspan Medical Group

  dba WellSpan Digestive Health

  • Gastroenterology Physician
  • York, PA
  • NPI 1669770004
  Medicare reassignment Care Compare group NPD
• Wellspan Medical Group

  dba WellSpan Pediatric Surgical Specialist

  • Pediatric Surgery Physician
  • York, PA
  • NPI 1104799428
  NPD
• Ephrata Community Hospital

  dba WellSpan Ephrata Community Hospital

  • General Acute Care Hospital
  • Ephrata, PA
  • NPI 1083615587
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ephrata Community Hospital

  dba WellSpan Ephrata Community Hospital

  • General Acute Care Hospital
  • Ephrata, PA
  • NPI 1083615587
  Care Compare affiliation
• Ephrata Community Hospital

  • General Acute Care Hospital
  • Ephrata, PA
  • NPI 1558558064
  Care Compare affiliation
• Ephrata Community Hospital

  dba Ephrata Hospitalist Group

  • Hospitalist Physician
  • Ephrata, PA
  • NPI 1700023041
  Care Compare affiliation
• Ephrata Community Hospital-Spu

  dba WellSpan Ephrata Community Hospital

  • Clinic/Center
  • Ephrata, PA
  • NPI 1548423684

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1477968394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MARTIN AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221724",
            "telephone_number": "717-721-4740",
            "fax_number": "717-738-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNNOOSE",
        "first_name": "JYOTHY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "OS0019040",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS0019040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carey Postell
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• Stacie D. Powroznik, LMT
• Proactive Pain Relief & Wellness, PC
• John E Pugh, PHD
• Quad-State Chiropractic Clinic, LLC
• Nana Ama Quartey, MD
• Jessica Ashley Quirin, CRNP
• William A Quoos, CRNA
• Marissa Allison Rabold

• Hospitalist Physician in Ephrata, PA
• Providers in Ephrata, PA by specialty
• Hospitalist Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.
• 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.