Individual provider Active NPI

Eli J Wayman, MD

  • Family Medicine Physician
  • Willow Street, PA
National Provider Identifier
1578120044
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD481451 Issued in PA
Practice address
222 Willow Valley Lakes Dr Ste 1900
Willow Street, PA 17584-9674
Phone
(717) 517-5350
Fax
(717) 517-5351
NPI assigned
May 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD481451 PA Primary

Addresses

Primary practice location

222 Willow Valley Lakes Dr Ste 1900
Willow Street, PA 17584-9674

Mailing address

222 Willow Valley Lakes Dr Ste 1900
Willow Street, PA 17584-9674
Phone (717) 517-5350

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230907002953 PA Practitioner - Family Practice 8224362728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

222 Willow Valley Lakes Dr
1900 Penn Medicine LGHP Fam Medicine Willow
Willow Street, PA 17584-9670
Phone (717) 517-5350

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Methodist Hospital Current Accepting new patients
Lancaster General Medical Group CurrentSince Oct 16, 2023 Accepting new patients
Lancaster General Medical Group CurrentSince Oct 16, 2023 Accepting new patients
Lancaster General Medical Group Family Medicine Past Accepting new patients

Locations

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

1159 River Rd
#F
Marietta, PA 17547
Phone (717) 426-1131

222 Willow Valley Lakes Dr
Ste 1900
Willow Street, PA 17584
Phone (717) 464-9430

Interoperability endpoints

  • Direct secure messaging: ewayman243668@direct-lghealth.org
  • Direct secure messaging: eli.wayman@direct.nmhs.org

Organizations & group practices 4

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

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1578120044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 WILLOW VALLEY LAKES DR STE 1900",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175849674",
            "telephone_number": "717-517-5350",
            "fax_number": "717-517-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 WILLOW VALLEY LAKES DR STE 1900",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175849674",
            "telephone_number": "717-517-5350",
            "fax_number": "717-517-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYMAN",
        "first_name": "ELI",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-21",
        "last_updated": "2024-02-26",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD481451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Street, PA

Sources for this page

Verify at the official NPI Registry.