Individual provider Active NPI

Kathleen Ann Gmeiner, PA-C

  • Medical Physician Assistant
  • Thurmont, MD
National Provider Identifier
1508316183
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C08741 Issued in MD
Practice address
52 Water St
Thurmont, MD 21788-1912
Phone
(301) 271-3535
Fax
(301) 271-2650
NPI assigned
Oct 7, 2016
Last updated
Jan 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA058545 PA
Medical Physician Assistant 363AM0700X OA003931 PA
Medical Physician Assistant 363AM0700X C08741 MD Primary

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 names 1

  • Kathleen Ann Griffin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C08741MDMDMedical Physician Assistant
MA058545PAMDMedical Physician Assistant
OA003931PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jan 7, 2017 Accepting new patients
Wellspan Medical Group CurrentSince Jan 7, 2017 Accepting new patients
Wellspan Medical Group CurrentSince Dec 5, 2022 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

147 Gettys St
Gettysburg, PA 17325
Phone (717) 334-2121

455 S Washington St
Ste 12
Gettysburg, PA 17325
Phone (717) 334-1800

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

Interoperability endpoints

  • Direct secure messaging: kgriffin16188@wellspan.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1508316183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "301-271-3535",
            "fax_number": "301-271-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 WATER ST",
            "city": "THURMONT",
            "state": "MD",
            "postal_code": "217881912",
            "telephone_number": "301-271-3535",
            "fax_number": "301-271-2650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 S Washington St Ste 12",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173252516",
            "country_code": "US",
            "telephone_number": "717-339-2875",
            "fax_number": "717-334-3921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GMEINER",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-07",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA058545",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA003931",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C08741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "GRIFFIN",
            "middle_name": "ANN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Thurmont, MD

Sources for this page

Verify at the official NPI Registry.