Individual provider Active NPI

Carol McCormack Travers, P.A.

  • Medical Physician Assistant
  • Wyomissing, PA
National Provider Identifier
1992728653
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA002471L Issued in PA
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

Updated by the provider on Mar 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040203000109 PA Practitioner - Physician Assistant 4587557855 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA002471LPAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Jun 18, 2018 Accepting new patients
Tower Health Medical Group CurrentSince Jun 7, 2015 Accepting new patients
Tower Health Medical Group CurrentSince Jun 7, 2015 Accepting new patients
Lancaster General Medical Group CurrentSince Jun 18, 2018 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.