| Wellspan Ephrata Community Hospital | |
|
169 Martin Ave Ephrata PA 17522-1724 | |
| (717) 733-0311 | |
| Not Available |
| Full Name | Wellspan Ephrata Community Hospital |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 169 Martin Ave, Ephrata, Pennsylvania |
| Authorized Official Name and Position | Tina Citro (VP & PRESIDENT) |
| Authorized Official Contact | 7177386407 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspan Ephrata Community Hospital 785 5th Ave Ste 3 Chambersburg PA 17201-4232 Ph: (717) 263-9555 | Wellspan Ephrata Community Hospital 169 Martin Ave Ephrata PA 17522-1724 Ph: (717) 733-0311 |
| NPI Number | 1083615587 |
|---|---|
| Provider Enumeration Date | 08/09/2005 |
| Last Update Date | 07/19/2023 |
| Medicare PECOS PAC ID | 4981514445 |
|---|---|
| Medicare Enrollment ID | O20040419000567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083615587 | NPI | - | NPPES |
| 100746468 | Medicaid | PA |
| Provider Name | Sawsan Y Zammam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710913553 PECOS PAC ID: 9830096874 Enrollment ID: I20031217000537 |
| Provider Name | Scott Taylor Riebel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811934565 PECOS PAC ID: 7416927678 Enrollment ID: I20040727000814 |
| Provider Name | Thomas Matthew O Connor |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1144213992 PECOS PAC ID: 4789623596 Enrollment ID: I20050502000378 |
| Provider Name | Il Jun Chon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538173869 PECOS PAC ID: 0547299091 Enrollment ID: I20050808000339 |
| Provider Name | Traci M Kohl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841206919 PECOS PAC ID: 3779512090 Enrollment ID: I20050808000363 |
| Provider Name | William D Loretan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245244565 PECOS PAC ID: 2567491814 Enrollment ID: I20050808000659 |
| Provider Name | Mariano D Mallozzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558377648 PECOS PAC ID: 3274562525 Enrollment ID: I20050808000670 |
| Provider Name | Kelly Stoll Trynosky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346217940 PECOS PAC ID: 6103840533 Enrollment ID: I20060210000003 |
| Provider Name | Susan L Hite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760443865 PECOS PAC ID: 5395748925 Enrollment ID: I20060821000132 |
| Provider Name | Edward Joseph Tadajweski |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1235280363 PECOS PAC ID: 8527163583 Enrollment ID: I20070419000343 |
| Provider Name | Dana M Weinstein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073667143 PECOS PAC ID: 6406940436 Enrollment ID: I20070920000622 |
| Provider Name | Jeffrey A Keyser |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346233400 PECOS PAC ID: 7315096955 Enrollment ID: I20090601000327 |
| Provider Name | Lokesh Gowda B Nanjunda Gowda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265614622 PECOS PAC ID: 7315093895 Enrollment ID: I20090924000531 |
| Provider Name | Peter P. Phillips |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467431015 PECOS PAC ID: 6103958251 Enrollment ID: I20100726000062 |
| Provider Name | Govindbhai P Kachhadiya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093980518 PECOS PAC ID: 5698960995 Enrollment ID: I20101112000134 |
| Provider Name | Abdul Majeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720392012 PECOS PAC ID: 8820287048 Enrollment ID: I20110104000608 |
| Provider Name | Tyler Fugate |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1093867350 PECOS PAC ID: 8820275811 Enrollment ID: I20110531000165 |
| Provider Name | Adrian C Bell |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1477716306 PECOS PAC ID: 5799938387 Enrollment ID: I20130110000033 |
| Provider Name | Justin R Walzl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356685374 PECOS PAC ID: 7113981754 Enrollment ID: I20130312000251 |
| Provider Name | Erica Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245666056 PECOS PAC ID: 6901037134 Enrollment ID: I20140401000372 |
| Provider Name | Adnan S Malik |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1699829234 PECOS PAC ID: 8022172295 Enrollment ID: I20151111001897 |
| Provider Name | Umesh C Mishra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386918779 PECOS PAC ID: 3870895790 Enrollment ID: I20160111000332 |
| Provider Name | Mai Kia Kerstetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740726389 PECOS PAC ID: 8527345743 Enrollment ID: I20170425002874 |
| Provider Name | Faisal Shamshad |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225022320 PECOS PAC ID: 0345201463 Enrollment ID: I20190827000027 |
| Provider Name | Mohammad M Al Madani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306009071 PECOS PAC ID: 1355653163 Enrollment ID: I20191105000909 |
| Provider Name | Niki E Kantrowitz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285695031 PECOS PAC ID: 0840266466 Enrollment ID: I20191113000476 |
| Provider Name | Nuri Ilker Akkus |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1538164421 PECOS PAC ID: 9739172057 Enrollment ID: I20191114000244 |
| Provider Name | Adrienne S Topic |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194068064 PECOS PAC ID: 9335432848 Enrollment ID: I20200910003214 |
Wellspan Family Medicine- Crossroads Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4131 Oregon Pike, Ephrata, PA 17522 Phone: 717-859-1123 Fax: 717-859-2898 | |
Upmc Ephrata Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4229 Oregon Pike, Ephrata, PA 17522 Phone: 717-445-4371 Fax: 717-445-4767 | |
Internal Medicine Associates Of Ephrata Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 Pleasantview Dr, Ephrata, PA 17522 Phone: 717-733-6518 Fax: 717-733-8613 | |
Wellspan Family Medicine - Trout Run Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 Pleasantview Dr, Ephrata, PA 17522 Phone: 717-733-9090 Fax: 717-733-8982 | |
Wellspan Family Medicine - Trout Run Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 Pleasantview Dr, Ephrata, PA 17522 Phone: 717-733-9090 Fax: 717-733-8982 | |
Penn Medicine Lghp Family Medicine Lincoln Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1635 West Main Street, Suite 700, Ephrata, PA 17522 Phone: 717-738-0660 Fax: 717-738-0658 |