NPIMap

Individual provider Active NPI

Elizabeth L Wiest, DO

  • Emergency Medicine Physician
  • Chambersburg, PA
National Provider Identifier
1720305337
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS016484 Issued in PA
Practice address
112 N 7TH St
Chambersburg, PA 17201-1720
Phone
(717) 267-7146
Fax
(717) 267-7728
NPI assigned
Apr 23, 2010
Last updated
Feb 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OT013520 PA
Emergency Medicine Physician 207P00000X OS016484 PA Primary

Addresses

Primary practice location

112 N 7TH St
Chambersburg, PA 17201-1720

Mailing address

785 5TH Ave
Suite 3
Chambersburg, PA 17201-4232
Phone (717) 263-9555

Other practice location 1

501 E Main St
Waynesboro, PA 17268-2353
Phone (717) 765-3400

Other identifiers 5

IdentifierTypeStateIssuer
102818691 0002MedicaidPA
1621594OtherPAGATEWAY
102818691 0001MedicaidPA
2897727OtherPAHIGHMARK BLUE SHIELD
102818691MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130620000244 PA Practitioner - Emergency Medicine 8123267259 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Chambersburg HospitalGroup PAC ID 5496748303, 30 clinicians
Waynesboro HospitalGroup PAC ID 6305830936, 29 clinicians

Practice addresses (Care Compare)

112 N 7TH St
Chambersburg, PA 17201-1720

176 S Coldbrook Ave
The Chambersburg Hospital Psychiatric Outpa
Chambersburg, PA 17201-2714
Phone (717) 267-7480

501 E Main St
Hosp Emergency Dept
Waynesboro, PA 17268-2394
Phone (717) 765-3400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT013520PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Chambersburg Hospital CurrentSince Jul 1, 2013 Accepting new patients
Waynesboro Hospital CurrentSince Jul 1, 2013 Accepting new patients
The Chambersburg Hospital CurrentSince Jul 1, 2013 Accepting new patients
Waynesboro Hospital Current Accepting new patients
Waynesboro Hospital Emergency Medicine CurrentSince Jul 1, 2013 Accepting new patients

Locations

112 N 7th St
Chambersburg, PA 17201
Phone (717) 217-4300

176 S Coldbrook Ave
Chambersburg, PA 17201
Phone (717) 263-0550

785 5th Ave
Ste 3
Chambersburg, PA 17201

501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1720305337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 5TH AVE",
            "address_2": "SUITE 3",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014232",
            "telephone_number": "717-263-9555",
            "fax_number": "717-217-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N 7TH ST",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011720",
            "telephone_number": "717-267-7146",
            "fax_number": "717-267-7728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682353",
            "country_code": "US",
            "telephone_number": "717-765-3400",
            "fax_number": "717-765-3408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIEST",
        "first_name": "ELIZABETH",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-23",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OT013520",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS016484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102818691 0002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1621594",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102818691 0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "2897727",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102818691",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.