Pinnacle Health Regional Physicians
Organization Active NPI Family Medicine Physician · Stewartstown, PA
NPI 1982133369 · NPPES record last updated Jun 8, 2017
Key facts
- NPI
- 1982133369
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- PINNACLE HEALTH REGIONAL PHYSICIANS
- Practice address
- 200 Bailey Dr Ste 101
Stewartstown, PA 17363-8297 - Phone
- (717) 993-2543
- Fax
- (717) 993-9258
- NPI assigned
- Jun 8, 2017
- Organization subpart
- No
Authorized official
- Name
- Christopher P. Markley
- Title
- Sr VP, Strat SVCS/Gen Counsel
- Phone
- (717) 231-8210
Corporate family (same tax ID) 13
Practitioners 7
-
Mary Murphy, CRNA
-
Courtney Lynn O'Sullivan, PA-C
-
Nehal Dhirendra Patel, M.D.
-
Yamin Thein, M.D.
-
Ashima Arora Vaswani, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0187469 | Memorial Family Medicine at Stewartstown | Certificate of waiver | Sep 11, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170810001731 | PA | Part B Supplier - Clinic/Group Practice | 7416228358 |
Receives reassigned benefits from 514 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Pinnacle Health Regional Physicians
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
200 Bailey Dr Ste 101
Stewartstown, PA 17363-8297
Mailing address
409 S 2ND St Ste 2F
Harrisburg, PA 17104-1612
Other names
- Memorial Family Medicine at Stewartstown
Other providers in Stewartstown, PA
- Joseph Adam Miller III
- Kathy Ann Minnick
- David Wesley Moellman
- Optimal Spine Inc
- Vinh D Pham
- Precise Communication LLC
- Michaela Paige Raynor
- Beth Reinke
- Ashley Marie Riggs
- Niloofar Vahid Roodsari
All providers in Stewartstown, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.