Active NPI
Carol McCormack Travers, P.A.
- Medical Physician Assistant
- Wyomissing, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA002471L
- Practice address
- 2600 Papermill Rd
Wyomissing, PA 19610-3362 - Phone
- (484) 220-0051
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA002471L | PA | Primary |
Addresses
Primary practice location
2600 Papermill Rd
Wyomissing, PA 19610-3362
Mailing address
5000 Cox Rd
Glen Allen, VA 23060-9263
Phone (804) 968-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA002471L | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lancaster General Medical Group | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Lancaster General Medical Group | Current | Accepting new patients | |
| Lancaster General Medical Group | Past | Accepting new patients |
Locations
3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644
2118 Spring Valley Rd
Lancaster, PA 17601
Phone (215) 615-2222
546 N Penryn Rd
Manheim, PA 17545
Phone (717) 544-8075
1159 River Rd
#F
Marietta, PA 17547
Phone (717) 426-1131
620 Spear St
Oxford, PA 19363
Phone (610) 932-9300
1800 Lombard St
Ste 206
Philadelphia, PA 19146
Phone (215) 615-2222
6 Spruce St
West Reading, PA 19611
Phone (484) 628-8269
301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630
2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127
950B N Wyomissing Blvd
Wyomissing, PA 19610
Phone (610) 898-1820
Interoperability endpoints
- ctravers178602@direct-lghealth.org
Organizations & group practices 7
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.
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- Psychiatry Physician
- Lancaster, PA
- NPI 1952392383
-
- Internal Medicine Physician
- Birdsboro, PA
- NPI 1609291350
-
- Family Medicine Physician
- Lancaster, PA
- NPI 1073930301
-
- Obstetrics & Gynecology Physician
- Lancaster, PA
- NPI 1306724570
-
- Vascular & Interventional Radiology Physician
- West Reading, PA
- NPI 1487745105
-
- Surgery Physician
- Wyomissing, PA
- NPI 1831954353
-
- Family Medicine Physician
- Strasburg, PA
- NPI 1316912785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521676800000",
"number": "1992728653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 COX RD",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230609263",
"telephone_number": "804-968-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 PAPERMILL RD",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196103362",
"telephone_number": "484-220-0051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAVERS",
"first_name": "CAROL",
"middle_name": "MCCORMACK",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2018-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA002471L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyomissing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.