| Fulton County Medical Center | |
|
214 Peach Orchard Rd Mc Connellsburg PA 17233-8559 | |
| (717) 485-3155 | |
| Not Available |
| Full Name | Fulton County Medical Center |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 214 Peach Orchard Rd, Mc Connellsburg, Pennsylvania |
| Authorized Official Name and Position | Kimberly Meyers (CREDENTIALING SPEC) |
| Authorized Official Contact | 7174853155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fulton County Medical Center 214 Peach Orchard Rd Mc Connellsburg PA 17233-8559 Ph: (717) 485-3155 | Fulton County Medical Center 214 Peach Orchard Rd Mc Connellsburg PA 17233-8559 Ph: (717) 485-3155 |
| NPI Number | 1326044694 |
|---|---|
| Provider Enumeration Date | 06/22/2005 |
| Last Update Date | 09/16/2022 |
| Medicare PECOS PAC ID | 6406841295 |
|---|---|
| Medicare Enrollment ID | O20040420000435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326044694 | NPI | - | NPPES |
| 1007427630001 | Medicaid | PA | |
| 0641 | Other | PA | SWING BED- OCT 1, 06 |
| 1007427630014 | Medicaid | PA | |
| 390209 | Other | PA | CAPITAL BLUE CROSS |
| 1007427630003 | Medicaid | PA | |
| 1007427630012 | Medicaid | PA | |
| 1007427630002 | Medicaid | PA | |
| 1525 | Other | PA | HIGHMARK |
| 0626 | Other | PA | HIGHMARK-ACUTE-10/1/06 |
| 1007427630011 | Medicaid | PA |
| Provider Name | Shaheen Iqbal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194709394 PECOS PAC ID: 1658272919 Enrollment ID: I20040119000668 |
| Provider Name | Kalim Ahmed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194709204 PECOS PAC ID: 0345141610 Enrollment ID: I20040119000714 |
| Provider Name | Steve S Um |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457394959 PECOS PAC ID: 2567365968 Enrollment ID: I20040202000348 |
| Provider Name | Tunde T Tijani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326002791 PECOS PAC ID: 6800789884 Enrollment ID: I20040204000784 |
| Provider Name | Louie A Myers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659366268 PECOS PAC ID: 8123916848 Enrollment ID: I20040305000271 |
| Provider Name | Patrick Browning |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386738656 PECOS PAC ID: 4082505011 Enrollment ID: I20040322000235 |
| Provider Name | Michael T Donahoe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609875939 PECOS PAC ID: 6507853975 Enrollment ID: I20040428000123 |
| Provider Name | David P Albright |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528000619 PECOS PAC ID: 4789583857 Enrollment ID: I20040818000956 |
| Provider Name | Charmaine Marie Kovacs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255391744 PECOS PAC ID: 5193613230 Enrollment ID: I20040825001020 |
| Provider Name | Mark J Henzes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457351488 PECOS PAC ID: 0547228561 Enrollment ID: I20041222000347 |
| Provider Name | Nathan B Sipes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568486405 PECOS PAC ID: 1254399561 Enrollment ID: I20050103000425 |
| Provider Name | Scott B Slocum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396788949 PECOS PAC ID: 4183675648 Enrollment ID: I20050202000628 |
| Provider Name | Douglas D Stern |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023065968 PECOS PAC ID: 2466493606 Enrollment ID: I20050518000109 |
| Provider Name | Jeffrey S Mandak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386645232 PECOS PAC ID: 8224926910 Enrollment ID: I20050601000654 |
| Provider Name | Jose N Prudencio |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376590588 PECOS PAC ID: 9032136114 Enrollment ID: I20051028000141 |
| Provider Name | Joanna Maria Brady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285673582 PECOS PAC ID: 8921011628 Enrollment ID: I20060725000294 |
| Provider Name | Toby Mccarty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558357434 PECOS PAC ID: 6305836198 Enrollment ID: I20070719000447 |
| Provider Name | Luke V Chetlen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508894197 PECOS PAC ID: 2466545942 Enrollment ID: I20070830000067 |
| Provider Name | Pajman A Danai |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437180528 PECOS PAC ID: 3577576883 Enrollment ID: I20070926000862 |
| Provider Name | Parineetha G Thangada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669480158 PECOS PAC ID: 8224126446 Enrollment ID: I20071121000194 |
| Provider Name | Nuncio Massara |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124056593 PECOS PAC ID: 1456440346 Enrollment ID: I20071129000523 |
| Provider Name | Vicki E Ellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407828486 PECOS PAC ID: 5597747824 Enrollment ID: I20080326000411 |
| Provider Name | Janelle Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649484890 PECOS PAC ID: 4385718238 Enrollment ID: I20080811000475 |
| Provider Name | Matthew J Espenshade |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558561514 PECOS PAC ID: 5890847628 Enrollment ID: I20090709000035 |
| Provider Name | John E Quinlan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154526747 PECOS PAC ID: 7517005168 Enrollment ID: I20091119000130 |
| Provider Name | William Milroth |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1740280304 PECOS PAC ID: 7517967045 Enrollment ID: I20100315000412 |
| Provider Name | Imtiaz Khurshid |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740289917 PECOS PAC ID: 6103951900 Enrollment ID: I20100318000530 |
| Provider Name | Christopher P Moyer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922049618 PECOS PAC ID: 1759308844 Enrollment ID: I20100331000724 |
| Provider Name | Gerald E Gronborg |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902884950 PECOS PAC ID: 7810020815 Enrollment ID: I20100728000028 |
| Provider Name | Neil W Yoder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437339652 PECOS PAC ID: 1850458589 Enrollment ID: I20101007000204 |
| Provider Name | Stanton E Sollenberger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801900691 PECOS PAC ID: 0244252450 Enrollment ID: I20101012000419 |
| Provider Name | Raymond K Reichwein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841248960 PECOS PAC ID: 6002098357 Enrollment ID: I20110308001036 |
| Provider Name | Nicole N De Bolt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912984832 PECOS PAC ID: 2567630064 Enrollment ID: I20110728000446 |
| Provider Name | Pratima Pathak Behari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588725865 PECOS PAC ID: 6507894334 Enrollment ID: I20110823000779 |
| Provider Name | Robert Carman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720288715 PECOS PAC ID: 9830360643 Enrollment ID: I20110927000243 |
| Provider Name | Scott Taylor Miekley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669422754 PECOS PAC ID: 5991771628 Enrollment ID: I20120306000805 |
| Provider Name | Tung Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073833521 PECOS PAC ID: 9537307830 Enrollment ID: I20130528000541 |
| Provider Name | Ryan M Decort |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043531551 PECOS PAC ID: 4981831294 Enrollment ID: I20131212000519 |
| Provider Name | Cathleen Adams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124253851 PECOS PAC ID: 8729216593 Enrollment ID: I20140124001624 |
| Provider Name | Eileen L Hissong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184027641 PECOS PAC ID: 7517282098 Enrollment ID: I20150203001907 |
| Provider Name | Albert Iguchi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568545150 PECOS PAC ID: 2264747419 Enrollment ID: I20150817001729 |
| Provider Name | Megan R Earley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982906012 PECOS PAC ID: 3375714926 Enrollment ID: I20150818005492 |
| Provider Name | Natalie Aucutt-walker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295947513 PECOS PAC ID: 1850444712 Enrollment ID: I20150908001444 |
| Provider Name | Ramin Zand |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427215060 PECOS PAC ID: 7911132733 Enrollment ID: I20160803001938 |
| Provider Name | Mindy L. Barnhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770971251 PECOS PAC ID: 0042536898 Enrollment ID: I20161025002260 |
| Provider Name | Lakshmi M Shankar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396975058 PECOS PAC ID: 5597983965 Enrollment ID: I20170117001237 |
| Provider Name | Cornelius Strait |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821527763 PECOS PAC ID: 0244501625 Enrollment ID: I20170803000089 |
| Provider Name | Ryan J Mcfague |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770997207 PECOS PAC ID: 5496019317 Enrollment ID: I20180501000930 |
| Provider Name | Billie Sue Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427532167 PECOS PAC ID: 9133472004 Enrollment ID: I20181023000006 |
| Provider Name | Rita Dawn Sipes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154800910 PECOS PAC ID: 8022362615 Enrollment ID: I20181119000160 |
| Provider Name | Diana D Hillam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578037727 PECOS PAC ID: 2264864818 Enrollment ID: I20191120000008 |
| Provider Name | Bikash Bhattarai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164839965 PECOS PAC ID: 8921422429 Enrollment ID: I20200716002516 |
| Provider Name | Shalini Bansil |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467429340 PECOS PAC ID: 1850306796 Enrollment ID: I20200928000432 |
| Provider Name | Cody Grace |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346735834 PECOS PAC ID: 4789935685 Enrollment ID: I20201007001619 |
| Provider Name | Amy M Zeigler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124349469 PECOS PAC ID: 9739355108 Enrollment ID: I20210121000826 |
| Provider Name | Paul Acevedo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437358322 PECOS PAC ID: 8022148766 Enrollment ID: I20210315001874 |
| Provider Name | Nandakumar M Nagaraja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396989562 PECOS PAC ID: 9739313735 Enrollment ID: I20210830001917 |
| Provider Name | Gloriel Flores-caban |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326435207 PECOS PAC ID: 8527465137 Enrollment ID: I20210924000927 |
| Provider Name | Carly Ann Washabaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841958782 PECOS PAC ID: 2860883592 Enrollment ID: I20220106001658 |
| Provider Name | Raphaella Weiser |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609061779 PECOS PAC ID: 0244459683 Enrollment ID: I20220407001761 |
| Provider Name | Jacob Stern |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073135562 PECOS PAC ID: 0143643924 Enrollment ID: I20220527001335 |
| Provider Name | Grant W Zeigler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811429400 PECOS PAC ID: 4688054497 Enrollment ID: I20220711000012 |
| Provider Name | Carlina Burcker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962917906 PECOS PAC ID: 8527328020 Enrollment ID: I20230207003466 |
| Provider Name | Kelsey Coleman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013409119 PECOS PAC ID: 2466810346 Enrollment ID: I20230626000752 |
| Provider Name | Erin B Stansbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164937579 PECOS PAC ID: 6103187760 Enrollment ID: I20240306001875 |
| Provider Name | Christopher G Schwartz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356883565 PECOS PAC ID: 5890028203 Enrollment ID: I20240313003448 |
| Provider Name | Evan Allen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821101742 PECOS PAC ID: 8426945643 Enrollment ID: I20240507004324 |
| Provider Name | Batool Kirmani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316070576 PECOS PAC ID: 0345332912 Enrollment ID: I20240730003452 |
| Provider Name | Efstathia Tzatha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952568339 PECOS PAC ID: 6204088826 Enrollment ID: I20240730004476 |
| Provider Name | Shakthi Nandan Sureddi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114421336 PECOS PAC ID: 2365787173 Enrollment ID: I20240731003766 |
| Provider Name | Traci Ryan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407847650 PECOS PAC ID: 3678501269 Enrollment ID: I20240826002715 |
| Provider Name | Amit M Khaneja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922261486 PECOS PAC ID: 8123296902 Enrollment ID: I20240925003823 |
| Provider Name | Obinna Ifeanyichukwu Moneme |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316168743 PECOS PAC ID: 0648448894 Enrollment ID: I20241010003245 |
| Provider Name | Aileen C Cangiano-heath |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609074616 PECOS PAC ID: 9234544735 Enrollment ID: I20241025003468 |
| Provider Name | Teresa Mangin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144385352 PECOS PAC ID: 9032284104 Enrollment ID: I20250220002366 |
Gaudenzia Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Lincoln Way W, Mc Connellsburg, PA 17233 Phone: 717-325-4855 Fax: 717-325-0444 | |
Wellspan Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 Peach Orchard Rd, Mc Connellsburg, PA 17233 Phone: 717-264-1600 | |
Fulton County Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 214 Peach Orchard Rd, Mc Connellsburg, PA 17233 Phone: 717-485-3155 | |
Great Cove Integrative Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 S 2nd St, Mc Connellsburg, PA 17233 Phone: 717-485-4131 Fax: 717-485-3394 | |
Macdonalds Professional Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 214 Peach Orchard Rd Ste 100, Mc Connellsburg, PA 17233 Phone: 717-845-3622 Fax: 717-485-5176 |