Individual provider Active NPI

Kenneth J Zook, PA-C

  • Surgical Physician Assistant
  • Lewisburg, PA
National Provider Identifier
1972708543
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA052992 Issued in PA
Practice address
210 JPM Rd Ste 300
Lewisburg, PA 17837-9367
Phone
(570) 524-4446
Fax
(570) 522-1110
NPI assigned
Jun 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MA052992 PA Primary

Addresses

Primary practice location

210 JPM Rd Ste 300
Lewisburg, PA 17837-9367

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

289 S Market St
Elysburg, PA 17824-9737
Phone (570) 524-4446

Other practice location 2

1 Hospital Dr
Lewisburg, PA 17837-9350
Phone (570) 522-4264

Other practice location 3

435 River Ave Ste 2
Williamsport, PA 17701-3722
Phone (570) 524-4446

Other practice location 4

191 Roosevelt Ave Ste 2000
Selinsgrove, PA 17870-7998
Phone (570) 524-4446

Other practice location 5

112 N 15th St Ste 1000
Lewisburg, PA 17837-1224
Phone (570) 524-4446

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070717000031 PA Practitioner - Physician Assistant 3779683974 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

1 Hospital Dr
Lewisburg, PA 17837-9350
Phone (570) 522-4264

112 N 15TH St
Suite 1000 Wellspan Orthpedics
Lewisburg, PA 17837-1224
Phone (570) 524-4446

112 N 15TH Street
1000 Wellspan Orthopedics
Lewisburg, PA 17837-1224
Phone (570) 524-4446

191 Roosevelt Ave
Suite 2000
Selinsgrove, PA 17870-7998
Phone (570) 524-4446

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

210 JPM Rd
Lewisburg, PA 17837-9367
Phone (570) 522-4299

25 Monument Rd
York, PA 17403-5073

3 Hospital Dr
Lewisburg, PA 17837-9394

435 River Ave
Williamsport, PA 17701-3722
Phone (570) 524-4446

457 River Ave
Williamsport, PA 17701-3722
Phone (570) 524-5056

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Evangelical Medical Services Organization CurrentSince Jun 18, 2014 Accepting new patients
Wellspan Medical Group CurrentSince Dec 1, 2025 Accepting new patients
Wellspan Medical Group CurrentSince Dec 1, 2025 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Evangelical Medical Services Organization CurrentSince Jun 18, 2014 Accepting new patients
Wellspan Medical Group Physician Assistant Past Accepting new patients
Martin & Suhey Orthopedics, P.C. PastSince Jul 1, 2011 Accepting new patients
Mount Nittany Medical Center Health Services Inc Past Accepting new patients
Sun Orthopaedic Group Past Accepting new patients

Locations

289 S Market St
Elysburg, PA 17824
Phone (570) 672-9885

210 Jpm Rd
Ste 300
Lewisburg, PA 17837

3 Hospital Dr
Ste 318
Lewisburg, PA 17837
Phone (570) 522-1007

1 Hospital Dr
Lewisburg, PA 17837
Phone (570) 522-2000

112 N 15th St
#1000
Lewisburg, PA 17837

900 Buffalo Rd
Lewisburg, PA 17837
Phone (570) 522-1177

3 Hospital Dr
Ste 206
Lewisburg, PA 17837
Phone (570) 522-9771

25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290

1 Hospital Dr
Ste 306
Lewisburg, PA 17837
Phone (570) 522-4110

191 Roosevelt Ave
Ste 2000
Selinsgrove, PA 17870

435 River Ave
Ste 2
Williamsport, PA 17701

435 River Ave
#1
Williamsport, PA 17701
Phone (800) 598-5096

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

Interoperability endpoints

  • Direct secure messaging: kzook486015@wellspan.direct-ci.com

Organizations & group practices 9

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 1

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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1972708543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 JPM RD STE 300",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379367",
            "telephone_number": "570-524-4446",
            "fax_number": "570-522-1110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "289 S Market St",
            "address_purpose": "LOCATION",
            "city": "Elysburg",
            "state": "PA",
            "postal_code": "178249737",
            "country_code": "US",
            "telephone_number": "570-524-4446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178379350",
            "country_code": "US",
            "telephone_number": "570-522-4264",
            "fax_number": "570-768-3709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "435 River Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177013722",
            "country_code": "US",
            "telephone_number": "570-524-4446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "191 Roosevelt Ave Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Selinsgrove",
            "state": "PA",
            "postal_code": "178707998",
            "country_code": "US",
            "telephone_number": "570-524-4446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 N 15th St Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178371224",
            "country_code": "US",
            "telephone_number": "570-524-4446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZOOK",
        "first_name": "KENNETH",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA052992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, PA

Sources for this page

Verify at the official NPI Registry.