NPIMap

Organization Active NPI

Waynesboro Medical Associates,LLC

  • Primary Care Clinic/Center
  • Waynesboro, PA
National Provider Identifier
1538272646
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MD059027-L Issued in PA
Legal business name
WAYNESBORO MEDICAL ASSOCIATES,LLC
Practice address
12104 Buchanan Trail East
Waynesboro, PA 17268
Phone
(717) 749-0150
Fax
(717) 749-0153
NPI assigned
Aug 16, 2006
Last updated
Oct 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Authorized official

Name
Jenhanzeb Qureshi, MD
Title
Owner
Phone
(717) 749-0150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MD059027-L PA Primary

Addresses

Primary practice location

12104 Buchanan Trail East
Waynesboro, PA 17268

Mailing address

12104 Buchanan Trail East
Waynesboro, PA 17268
Phone (717) 749-0150

Other identifiers 1

IdentifierTypeStateIssuer
001909654000MedicaidPA

National Provider Directory

National Provider Directory

Locations

1933 Market Square Blvd
Waynesboro, PA 17268
Phone (717) 655-7536

Practitioners & affiliated clinicians

Practitioners 3

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": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1538272646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12104 BUCHANAN TRAIL EAST",
            "city": "WAYNESBORO",
            "state": "PA",
            "postal_code": "17268",
            "telephone_number": "717-749-0150",
            "fax_number": "717-749-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12104 BUCHANAN TRAIL EAST",
            "city": "WAYNESBORO",
            "state": "PA",
            "postal_code": "17268",
            "telephone_number": "717-749-0150",
            "fax_number": "717-749-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNESBORO MEDICAL ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "JENHANZEB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-749-0150",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PA",
            "license": "MD059027-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001909654000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.