WAYNESBORO MEDICAL ASSOCIATESLLC NPI 1538272646

NPI Information

NPI: 1538272646
Provider Name: WAYNESBORO MEDICAL ASSOCIATES,LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
12104 BUCHANAN TRAIL EAST
WAYNESBORO, PA
ZIP 17268
Phone: (717) 749-0150
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WAYNESBORO MEDICAL ASSOCIATES,LLC is a primary care clinic center in Waynesboro, PA. WAYNESBORO MEDICAL ASSOCIATES,LLC NPI is 1538272646. The provider is registered as an organization entity type.

The provider's business location address is:

12104 BUCHANAN TRAIL EAST
WAYNESBORO, PA
ZIP 17268
Phone: (717) 749-0150
Fax: (717) 749-0153

The provider's authorized official is Jenhanzeb Qureshi .
The authorized official title is Owner and has the following contact phone number (717) 749-0150.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 10/6/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	MD059027-L	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	076384	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA
2	G40562	MEDICARE UPIN	PENNSYLVANIA
3	001909654000	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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