Individual provider Active NPI

Ann M King, M.D.

  • Family Medicine Physician
  • Willow Street, PA
National Provider Identifier
1871572560
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD064126L Issued in PA
Practice address
2850 Willow Street Pike N
Suite a
Willow Street, PA 17584-9200
Phone
(717) 464-9430
Fax
(717) 464-1680
NPI assigned
Jan 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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 MD064126L PA Primary

Addresses

Primary practice location

2850 Willow Street Pike N
Suite a
Willow Street, PA 17584-9200

Mailing address

2850 Willow Street Pike N
Suite a
Willow Street, PA 17584-9200
Phone (717) 464-9430

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
I20050523000114 PA Practitioner - Family Practice 9234170093 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD064126LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster Family Medicine Associates, P.C. Family Medicine CurrentSince Mar 13, 1998 Accepting new patients

Locations

2850 Willow Street Pike N
Ste A
Willow Street, PA 17584
Phone (717) 464-9430

222 Willow Valley Lakes Dr
Ste 1900
Willow Street, PA 17584
Phone (717) 464-9430

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1871572560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 WILLOW STREET PIKE N",
            "address_2": "SUITE A",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175849200",
            "telephone_number": "717-464-9430",
            "fax_number": "717-464-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 WILLOW STREET PIKE N",
            "address_2": "SUITE A",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175849200",
            "telephone_number": "717-464-9430",
            "fax_number": "717-464-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "ANN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD064126L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Street, PA

Sources for this page

Verify at the official NPI Registry.