NPIMap

Individual provider Active NPI

Dakota N Edmiston, PA-C

  • Physician Assistant
  • Camp Hill, PA
National Provider Identifier
1841921723
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA006128 Issued in PA
Practice address
3399 Trindle Rd
Camp Hill, PA 17011-4407
Phone
(717) 761-5530
Fax
(717) 737-7197
NPI assigned
Jun 21, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA063655 PA
Physician Assistant 363A00000X OA006128 PA Primary

Addresses

Primary practice location

3399 Trindle Rd
Camp Hill, PA 17011-4407

Mailing address

3399 Trindle Rd
Camp Hill, PA 17011-4407
Phone (717) 761-5530

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dedmiston@oip.medentdirect.com

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
I20220706002140 PA Practitioner - Physician Assistant 0143600361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Pennsylvania State University College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Surgeons LTDGroup PAC ID 4385535244, 92 clinicians

Practice addresses (Care Compare)

1703 Innovation Dr
York, PA 17408-8815
Phone (717) 761-5530

250 Alexander Spring Rd
Carlisle, PA 17015-6956
Phone (717) 761-5530

3399 Trindle Rd
Camp Hill, PA 17011-4407
Phone (717) 920-2620

450 Powers Ave
Harrisburg, PA 17109-5933
Phone (717) 920-4950

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
OA006128PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Surgeons LTD CurrentSince Jun 22, 2022 Accepting new patients
Orthopedic Surgeons LTD CurrentSince Jun 22, 2022 Accepting new patients
Orthopedic Surgeons LTD Past Accepting new patients

Locations

3399 Trindle Rd
Camp Hill, PA 17011
Phone (717) 901-4236

450 Powers Ave
Lower Paxton, PA 17109
Phone (717) 615-1409

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.

Hospital & facility affiliations 8

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": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1841921723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3399 TRINDLE RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114407",
            "telephone_number": "717-761-5530",
            "fax_number": "717-737-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3399 TRINDLE RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114407",
            "telephone_number": "717-761-5530",
            "fax_number": "717-737-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMISTON",
        "first_name": "DAKOTA",
        "middle_name": "N",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA063655",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA006128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dedmiston@oip.medentdirect.com",
            "affiliation": "N",
            "address_1": "3399 Trindle Rd",
            "city": "Camp Hill",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170114407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.