NPIMap

Individual provider Active NPI

John A. Fornadley, M.D.

  • Otolaryngology Physician
  • Camp Hill, PA
National Provider Identifier
1962505966
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD028182E Issued in PA
Practice address
875 Poplar Church Rd
Suite 320
Camp Hill, PA 17011-2203
Phone
(717) 763-7400
Fax
(717) 909-9567
NPI assigned
Sep 6, 2006
Last updated
Aug 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD028182E PA Primary

Addresses

Primary practice location

875 Poplar Church Rd
Suite 320
Camp Hill, PA 17011-2203

Mailing address

875 Poplar Church Rd
Suite 320
Camp Hill, PA 17011-2203
Phone (717) 763-7400

Other identifiers 1

IdentifierTypeStateIssuer
1962505966OtherPANPI

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
I20101025000648 PA Practitioner - Otolaryngology 0244338440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Pennsylvania State University College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aop, Inc.Group PAC ID 7012955909, 12 clinicians

Practice addresses (Care Compare)

875 Poplar Church Rd
Suite 320
Camp Hill, PA 17011-2203
Phone (717) 763-7400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aop, Inc. Specialist CurrentSince May 2, 1991 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

875 Poplar Church Rd
Camp Hill, PA 17011
Phone (717) 761-5131

875 Poplar Church Rd
Ste 320
Camp Hill, PA 17011
Phone (717) 763-7400

850 Walnut Bottom Rd
Ste 304
Carlisle, PA 17013
Phone (717) 249-5400

101 W Cherry St
Palmyra, PA 17078
Phone (717) 534-1650

Interoperability endpoints

  • Direct secure messaging: drfornadley@aop.medentdirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1962505966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 POPLAR CHURCH RD",
            "address_2": "SUITE 320",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112203",
            "telephone_number": "717-763-7400",
            "fax_number": "717-909-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 POPLAR CHURCH RD",
            "address_2": "SUITE 320",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112203",
            "telephone_number": "717-763-7400",
            "fax_number": "717-909-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORNADLEY",
        "first_name": "JOHN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD028182E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962505966",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.