Kathleen Ann Gmeiner, PA-C
Individual provider Active NPI Medical Physician Assistant · Thurmont, MD
NPI 1508316183 · NPPES record last updated Jan 11, 2023
Key facts
- NPI
- 1508316183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- C08741 (MD)
- Practice address
- 52 Water St
Thurmont, MD 21788-1912 - Phone
- (301) 271-3535
- Fax
- (301) 271-2650
- NPI assigned
- Oct 7, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170228001918 | PA | Practitioner - Physician Assistant | 1557645025 | Reassigns benefits to 1 organization |
| I20230126000406 | MD | Practitioner - Physician Assistant | 1557645025 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA058545 | PA | MD | Medical Physician Assistant |
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 |
Locations
52 Water St
Thurmont, MD 21788
Phone (301) 271-3535
6375 Chambersburg Rd
Fayetteville, PA 17222
Phone (717) 352-2721
455 S Washington St
Ste 12
Gettysburg, PA 17325
Phone (717) 334-1800
147 Gettys St
Gettysburg, PA 17325
Phone (717) 334-2121
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
1600 S George St
York, PA 17403
Phone (717) 848-3615
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
Interoperability endpoints
- kgriffin16188@wellspan.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA058545 | PA | |
| Medical Physician Assistant | 363AM0700X | OA003931 | PA | |
| Medical Physician Assistant | 363AM0700X | C08741 | MD | Yes |
Addresses
Primary practice location
52 Water St
Thurmont, MD 21788-1912
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (301) 271-3535
Other practice location 1
455 S Washington St Ste 12
Gettysburg, PA 17325-2516
Phone (717) 339-2875
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103252176 | Medicaid | PA |
Other names
- Kathleen Ann Griffin
Other providers in Thurmont, MD
- Aisha Ganda-Nabi
- Rashid Gbamanja
- Jebin James Ginet
- Jacob Ginty
- Melissa Gleeson
- Erin Goff
- Julius Goldberg
- Caroline Gove
- Andrea Leanoria Grant
- Kiel Green
All providers in Thurmont, MD · Medical Physician Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2023. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.