NPIMap

Organization Active NPI

Waynesboro Family Medical Associates, LLP

  • Family Medicine Physician
  • Waynesboro, PA
National Provider Identifier
1952347411
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WAYNESBORO FAMILY MEDICAL ASSOCIATES, LLP
Practice address
1051 E Main St
Suite 1
Waynesboro, PA 17268-2318
Phone
(717) 762-9118
Fax
(717) 762-2860
NPI assigned
Jun 22, 2006
Last updated
Jun 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Authorized official

Name
Linda L. Martin
Title
Office Manager
Phone
(717) 762-9118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1051 E Main St
Suite 1
Waynesboro, PA 17268-2318

Mailing address

1051 E Main St
Suite 1
Waynesboro, PA 17268-2318
Phone (717) 762-9118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040225000115 PA Part B Supplier - Clinic/Group Practice 8325934508 Receives reassigned benefits from 10 practitioners
Practice locations: Beaver, PA; Waynesboro, PA

National Provider Directory

National Provider Directory

Locations

1051 E Main St
Ste A
Waynesboro, PA 17268

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1952347411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 E MAIN ST",
            "address_2": "SUITE 1",
            "city": "WAYNESBORO",
            "state": "PA",
            "postal_code": "172682318",
            "telephone_number": "717-762-9118",
            "fax_number": "717-762-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 E MAIN ST",
            "address_2": "SUITE 1",
            "city": "WAYNESBORO",
            "state": "PA",
            "postal_code": "172682318",
            "telephone_number": "717-762-9118",
            "fax_number": "717-762-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNESBORO FAMILY MEDICAL ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "717-762-9118"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.