Beverly Fornoff, MAC, LOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

OM000192 Issued in PA

Practice address

600 Eden Road
Lancaster, PA 17603

Phone

(717) 381-7334

NPI assigned

Apr 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1770080061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 STATE STREET",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17603",
            "telephone_number": "717-381-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 EDEN ROAD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17603",
            "telephone_number": "717-381-7334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "690 Good Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176012433",
            "country_code": "US",
            "telephone_number": "717-544-0740",
            "fax_number": "717-544-0749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORNOFF",
        "first_name": "BEVERLY",
        "credential": "MAC, LOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "OM000192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard T Ford
• Tristram Ford
• Thaddeus C Foreman, PA-C
• Sarah Anne Forgione, PT
• Daniel Forman, DO
• Lea Fornoff, MSW
• Neysa Forsythe
• Randal James Fortner Jr., O.D.
• Kathryn M Fossaceca, PA-C
• Cynthia G Foster-Clark, LCSW

• Acupuncturist in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Acupuncturist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.