Individual provider Active NPI

Peter S Oh, DO

  • Family Medicine Physician
  • Ephrata, PA
National Provider Identifier
1790737666
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS006535L Issued in PA
Practice address
4131A Oregon Pike
Ephrata, PA 17522-9550
Phone
(717) 859-1123
Fax
(717) 859-2898
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 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 OS006535L PA Primary

Addresses

Primary practice location

4131A Oregon Pike
Ephrata, PA 17522-9550

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

368 W Main St
Leola, PA 17540-1761
Phone (717) 656-6122

Other practice location 2

808 Pleasantview Dr
Ephrata, PA 17522-1644
Phone (717) 733-9090

Other practice location 3

770 Broad St
East Earl, PA 17519-9752
Phone (717) 445-4576

Other practice location 4

2320 Rothsville Rd
Lititz, PA 17543-8215
Phone (717) 721-4800

Other practice location 5

136 Lake St
Ephrata, PA 17522
Phone (717) 721-7718

Other practice location 6

264 Granite Run Dr
Lancaster, PA 17601-6804
Phone (717) 721-8205

Other practice location 7

30 W Swartzville Rd
Reinholds, PA 17569-9641
Phone (717) 484-4347

Other practice location 8

1135 Georgetown Rd Unit 201
Christiana, PA 17509-9543
Phone (717) 466-2462

Other identifiers 4

IdentifierTypeStateIssuer
1021128500001MedicaidPA
50077763OtherCAPTIAL BLUE CROSS
2035058OtherHIGHMARK/FREEDOM BLUE
P009497OtherGATEWAY

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
I20080617000618 PA Practitioner - Family Practice 2062583156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

4131 A Oregon Pike
Ephrata, PA 17522-9550
Phone (717) 859-1123

Hospital & facility affiliations

  • Wellspan Ephrata Community Hospital Hospital, Ephrata, PA, CCN 390225
  • Wellspan York Hospital Hospital, York, PA, CCN 390046
  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5504OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince May 5, 2017 Accepting new patients
Wellspan Medical Group CurrentSince May 5, 2017 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Louis E Vassy MD Inc Past Accepting new patients
Ephrata Community Hospital Past Accepting new patients
Central Ohio Thoracic & Cardiovascular Surgery Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

770 Broad St
East Earl, PA 17519
Phone (717) 445-4576

808 Pleasantview Dr
Ephrata, PA 17522
Phone (717) 733-6518

4131A Oregon Pike
Ephrata, PA 17522
Phone (717) 859-1123

175 Martin Ave
Ste 125
Ephrata, PA 17522
Phone (717) 812-4602

4131 Oregon Pike
#C
Ephrata, PA 17522

264 Granite Run Dr
Lancaster, PA 17601
Phone (717) 721-8205

368 W Main St
Leola, PA 17540
Phone (717) 656-6122

30 W Swartzville Rd
Reinholds, PA 17569
Phone (717) 466-5420

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

Interoperability endpoints

  • Direct secure messaging: poh@direct-address.net
  • Direct secure messaging: poh14060@wellspan.direct-ci.com

Organizations & group practices 7

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 11

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1790737666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131A OREGON PIKE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175229550",
            "telephone_number": "717-859-1123",
            "fax_number": "717-859-2898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "368 W Main St",
            "address_purpose": "LOCATION",
            "city": "Leola",
            "state": "PA",
            "postal_code": "175401761",
            "country_code": "US",
            "telephone_number": "717-656-6122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "808 Pleasantview Dr",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221644",
            "country_code": "US",
            "telephone_number": "717-733-9090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "770 Broad St",
            "address_purpose": "LOCATION",
            "city": "East Earl",
            "state": "PA",
            "postal_code": "175199752",
            "country_code": "US",
            "telephone_number": "717-445-4576",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2320 Rothsville Rd",
            "address_purpose": "LOCATION",
            "city": "Lititz",
            "state": "PA",
            "postal_code": "175438215",
            "country_code": "US",
            "telephone_number": "717-721-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "136 Lake St",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "17522",
            "country_code": "US",
            "telephone_number": "717-721-7718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "264 Granite Run Dr",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176016804",
            "country_code": "US",
            "telephone_number": "717-721-8205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 W Swartzville Rd",
            "address_purpose": "LOCATION",
            "city": "Reinholds",
            "state": "PA",
            "postal_code": "175699641",
            "country_code": "US",
            "telephone_number": "717-484-4347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1135 Georgetown Rd Unit 201",
            "address_purpose": "LOCATION",
            "city": "Christiana",
            "state": "PA",
            "postal_code": "175099543",
            "country_code": "US",
            "telephone_number": "717-466-2462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OH",
        "first_name": "PETER",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS006535L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021128500001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPTIAL BLUE CROSS",
            "identifier": "50077763",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK/FREEDOM BLUE",
            "identifier": "2035058",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "P009497",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, PA

Sources for this page

Verify at the official NPI Registry.