DR. WALLACE KEITH AMMON MD NPI 1871653345

NPI Information

  • NPI: 1871653345
  • Provider Name: DR. WALLACE KEITH AMMON, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 300 HIGHLAND AVE
    HANOVER, PA
    ZIP 17331
  • Phone: (717) 988-0000

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NPI Details

DR. Wallace Keith Ammon, MD is a family medicine in Hanover, PA with 25 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Wallace Keith Ammon, MD NPI is 1871653345. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduation Year:2001

The provider's business location address is:

300 HIGHLAND AVE
HANOVER, PA
ZIP 17331
Phone: (717) 988-0000
Fax: (717) 782-5716

The NPI 1871653345 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)
  • Emergency department visit for problem of high severity (HCPCS:99284)
  • Critical care, first 30-74 minutes (HCPCS:99291)

The enumeration date for this NPI number is 12/12/2006 and was last updated on 1/16/2021.

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
1207Q00000XFamily MedicineMD427608PENNSYLVANIAYes

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 Other Provider Identifier Issuer
1891000OTHERMARYLANDCAREFIRST MD BCBS
2103042OTHERPENNSYLVANIAJOHNS HOPKINS
31789885OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
42626996000OTHERPENNSYLVANIAAMERIHEALTH 65 PA
5100434OTHERPENNSYLVANIAGEISINGER
6101445370MEDICAIDPENNSYLVANIA
77107935OTHERPENNSYLVANIAAETNA

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: 11/21/2025

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