Active NPI
Eli J Wayman, MD
- Family Medicine Physician
- Willow Street, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD481451
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebraska Methodist Hospital | Current | Accepting new patients | |
| Lancaster General Medical Group | Current | Accepting new patients | |
| Lancaster General Medical Group | Current | 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
- ewayman243668@direct-lghealth.org
- 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.
-
dba Penn Medicine LGHP Behavioral Health
- Psychiatry Physician
- Lancaster, PA
- NPI 1952392383
-
- Obstetrics & Gynecology Physician
- Lancaster, PA
- NPI 1306724570
-
dba Methodist Hospital
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
-
dba Penn Medicine LGHP Family Medicine Strasburg
- Family Medicine Physician
- Strasburg, PA
- NPI 1316912785
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lancaster, PA
- NPI 1104875103
-
dba Parkesburg Outpatient Center
- General Acute Care Hospital
- Parkesburg, PA
- NPI 1245571942
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.