Active NPI
Edmond K Obeng-Gyimah, M.D.
- Clinical Cardiac Electrophysiology Physician
- York, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- MD452963
- Practice address
- 30 Monument Rd
Suite 1100
York, PA 17403-5024 - Phone
- (717) 851-2441
- Fax
- (717) 851-3521
- NPI assigned
- May 5, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD452963 | PA | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | MD452963 | PA | Primary |
Addresses
Primary practice location
30 Monument Rd
Suite 1100
York, PA 17403-5024
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 851-2441
Other practice location 1
12 St Paul Dr
Chambersburg, PA 17201-1035
Phone (717) 217-6886
Other practice location 2
338 Alexander Spring Rd
Carlisle, PA 17015-9129
Phone (717) 218-5103
Other practice location 3
775 Norman Dr
Lebanon, PA 17042-7497
Phone (717) 274-5500
Other practice location 4
140 N Pointe Blvd
Lancaster, PA 17601-4132
Phone (717) 291-0700
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
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 S George St
York, PA 17403-3676
1001 S George St 2ND Floor
Wellspan Pulmonary and Sleep Medicine
York, PA 17403-3676
Phone (717) 851-2465
112 N 7TH St
Chambersburg, PA 17201-1720
Phone (717) 267-7164
12 St Paul Dr
Chambersburg, PA 17201-1035
2250 E Market St
York, PA 17402-2857
25 Monument Rd
York, PA 17403-5049
25 Monument Rd
York, PA 17403-5073
2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214
30 Monument Rd
Suite 1100
York, PA 17403-5024
Phone (717) 812-2480
4 TH and Walnut STS
2ND Floor
Lebanon, PA 17042-6123
Phone (717) 270-3751
914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 24 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD452963 | PA | MD | Cardiovascular Disease Physician |
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 | |
| Wellspan Medical Group | Past | Accepting new patients |
Locations
338 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 218-5103
22 St Paul Dr
Chambersburg, PA 17201
Phone (717) 217-6020
12 St Paul Dr
Chambersburg, PA 17201
Phone (717) 217-6026
140 N Pointe Blvd
Lancaster, PA 17601
Phone (717) 291-0700
775 Norman Dr
Lebanon, PA 17042
Phone (717) 274-5500
501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
1600 S George St
York, PA 17403
Phone (717) 848-3615
30 Monument Rd
Ste 1100
York, PA 17403
Phone (717) 851-2441
Interoperability endpoints
- eobenggyimah168186@wellspan.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
dba WellSpan Virtual Primary Care
- Family Medicine Physician
- York, PA
- NPI 1457044794
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba WellSpan Ephrata Community Hospital
- General Acute Care Hospital
- Ephrata, PA
- NPI 1083615587
-
- General Acute Care Hospital
- Ephrata, PA
- NPI 1558558064
-
dba Ephrata Hospitalist Group
- Hospitalist Physician
- Ephrata, PA
- NPI 1700023041
-
dba WellSpan Ephrata Community Hospital
- Clinic/Center
- Ephrata, PA
- NPI 1548423684
Hospital
-
dba WellSpan Gettysburg Hospital SPU
- Ambulatory Surgical Clinic/Center
- Gettysburg, PA
- NPI 1184882011
Hospital
-
- General Acute Care Hospital
- Gettysburg, PA
- NPI 1265466957
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
-
dba York Hospital Community Health Center
- Clinic/Center
- York, PA
- NPI 1497814040
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1578855706",
"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": "717-851-2441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 MONUMENT RD",
"address_2": "SUITE 1100",
"city": "YORK",
"state": "PA",
"postal_code": "174035024",
"telephone_number": "717-851-2441",
"fax_number": "717-851-3521"
}
],
"practiceLocations": [
{
"address_1": "12 St Paul Dr",
"address_purpose": "LOCATION",
"city": "Chambersburg",
"state": "PA",
"postal_code": "172011035",
"country_code": "US",
"telephone_number": "717-217-6886",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "338 Alexander Spring Rd",
"address_purpose": "LOCATION",
"city": "Carlisle",
"state": "PA",
"postal_code": "170159129",
"country_code": "US",
"telephone_number": "717-218-5103",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "775 Norman Dr",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170427497",
"country_code": "US",
"telephone_number": "717-274-5500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "140 N Pointe Blvd",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176014132",
"country_code": "US",
"telephone_number": "717-291-0700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OBENG-GYIMAH",
"first_name": "EDMOND",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-05",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD452963",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "PA",
"license": "MD452963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.