Green Hill Family Practice LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GREEN HILL FAMILY PRACTICE LLC

Doing business as

GREEN HILL FAMILY HEALTH CENTER

Practice address

503 Bridge St Ste 200
New Cumberland, PA 17070-1972

Phone

(717) 774-8400

Fax

(717) 774-8607

NPI assigned

Oct 25, 2017

Organization subpart

No

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

Authorized official

Name

Glenda Miller

Title

Credentialing

Phone

(717) 214-3003

Specialties & licenses 1

Addresses

Other names 1

• GREEN HILL FAMILY HEALTH CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clem Anthony Ciccarelli, MD

  • Family Medicine Physician
  • New Cumberland, PA
  • NPI 1881687721
  Medicare reassignment Care Compare group NPD
• Andrea Marie Maurice, FNP-C

  • Primary Care Nurse Practitioner
  • New Cumberland, PA
  • NPI 1114386240
  Medicare reassignment Care Compare group NPD
• Jill Beth D'Amico, D.O.

  • Family Medicine Physician
  • Palmyra, PA
  • NPI 1811950678
  Medicare reassignment NPD
• Georgialee Gould, AGNP-C

  • Primary Care Nurse Practitioner
  • New Cumberland, PA
  • NPI 1316602790
  Medicare reassignment NPD

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508889600000",
    "number": "1952813453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 BRIDGE ST STE 200",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170701972",
            "telephone_number": "717-774-8400",
            "fax_number": "717-774-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 BRIDGE ST STE 200",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170701972",
            "telephone_number": "717-774-8400",
            "fax_number": "717-774-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN HILL FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-25",
        "last_updated": "2017-10-25",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "717-214-3003"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREEN HILL FAMILY HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samuel Frazer Getty, DC
• Kimberly Gingerich, RN
• Andrew David Gould, DMD
• Georgialee Gould, AGNP-C
• Green Hill Family Health Center
• Thomas L. Hanshaw, M.ED.
• Emily Hauser
• Lauryn Mabel Healy, CMD
• Katie Henson
• Timothy Allen Hepworth, MD

• Internal Medicine Physician in New Cumberland, PA
• Providers in New Cumberland, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; 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.