| Wellspan Family Medicine - Thurmont | |
|
52 Water St Thurmont MD 21788-1912 | |
| (301) 271-3535 | |
| (301) 271-2650 |
| Full Name | Wellspan Family Medicine - Thurmont |
|---|---|
| Speciality | Family Medicine |
| Location | 52 Water St, Thurmont, Maryland |
| Authorized Official Name and Position | Christina Vest (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 7178511405 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspan Family Medicine - Thurmont 1803 Mount Rose Ave Suite B3 York PA 17403-3051 Ph: (717) 851-1405 | Wellspan Family Medicine - Thurmont 52 Water St Thurmont MD 21788-1912 Ph: (301) 271-3535 |
| NPI Number | 1881762995 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 01/11/2018 |
| Medicare PECOS PAC ID | 1951213115 |
|---|---|
| Medicare Enrollment ID | O20040507001210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881762995 | NPI | - | NPPES |
| CJ8326 | Other | PA | RAILROAD |
| 1382371 | Other | PA | HIGHMARK BLUE SHIELD |
| 401065501 | Medicaid | MD | |
| S1FD | Other | PA | GEISINGER |
| 20013086 | Other | PA | AMERIHEALTH MERCY |
| 1520447 | Other | PA | GATEWAY |
| KX10 | Other | MD | CAREFIRST MD BCBS |
| 1007721360131 | Medicaid | PA | |
| 03256300 | Other | PA | CAPITAL BLUE CROSS |
| 132622 | Other | PA | UNISON |
| 401065501 | Other | MD | MARYLAND MEDICAL ASSISTANCE |
| 7185822 | Other | PA | AETNA |
| 800174 | Other | PA | JOHN HOPKINS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Lynne Ann Kline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679576888 PECOS PAC ID: 6204897424 Enrollment ID: I20041021000381 |
| Provider Name | Virginia R Heard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417967977 PECOS PAC ID: 8123028925 Enrollment ID: I20061229000244 |
| Provider Name | Charles J Winters |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275578205 PECOS PAC ID: 4587755764 Enrollment ID: I20070801000721 |
| Provider Name | Thomas M Larkin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043318587 PECOS PAC ID: 1951338946 Enrollment ID: I20070816000327 |
| Provider Name | Cheunju Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538204219 PECOS PAC ID: 7810071966 Enrollment ID: I20080416000244 |
| Provider Name | David E Jamison |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497852677 PECOS PAC ID: 7315015385 Enrollment ID: I20081003000210 |
| Provider Name | Ali I Khawaja |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1689899361 PECOS PAC ID: 5193824811 Enrollment ID: I20090428000178 |
| Provider Name | Brian Holmes |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1457371809 PECOS PAC ID: 0749289320 Enrollment ID: I20100816000608 |
| Provider Name | Neil Patrick O Malley |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1225055858 PECOS PAC ID: 8527091693 Enrollment ID: I20100820000057 |
| Provider Name | Pamela Fox Bradford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629095666 PECOS PAC ID: 6406942846 Enrollment ID: I20100908000881 |
| Provider Name | Amy R Szabados |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407136732 PECOS PAC ID: 7911179049 Enrollment ID: I20111013000204 |
| Provider Name | Jenice Palachick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922336452 PECOS PAC ID: 1557404076 Enrollment ID: I20140224000097 |
| Provider Name | Rajiv A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063434314 PECOS PAC ID: 9931154978 Enrollment ID: I20160525000506 |
| Provider Name | Cynthia Keener |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932128196 PECOS PAC ID: 1355561424 Enrollment ID: I20161201000005 |
| Provider Name | Anna Balkisue Lee Stuart Mccall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306092135 PECOS PAC ID: 8820144876 Enrollment ID: I20171113000743 |
| Provider Name | Theo Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386110518 PECOS PAC ID: 6901145259 Enrollment ID: I20190304001069 |
| Provider Name | Stephanie L Warrenfeltz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699197061 PECOS PAC ID: 9032541594 Enrollment ID: I20191121001380 |
| Provider Name | Janet L Benedick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265609150 PECOS PAC ID: 1153494596 Enrollment ID: I20200416004035 |
| Provider Name | Mary Demino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750735924 PECOS PAC ID: 7214221639 Enrollment ID: I20200506002265 |
| Provider Name | Stephanie Boyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093108193 PECOS PAC ID: 2769456813 Enrollment ID: I20200507002912 |
| Provider Name | Megan E Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326659160 PECOS PAC ID: 8729405451 Enrollment ID: I20200826003069 |
| Provider Name | Anver Saleem Khan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992169486 PECOS PAC ID: 5092064766 Enrollment ID: I20201102001039 |
| Provider Name | Christopher R Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609471010 PECOS PAC ID: 7911314935 Enrollment ID: I20210318000810 |
| Provider Name | Rebekah R Bruner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073105128 PECOS PAC ID: 7911312004 Enrollment ID: I20210322001057 |
| Provider Name | Wynne Hoffacker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528090321 PECOS PAC ID: 7810927811 Enrollment ID: I20220504002830 |
| Provider Name | Sandip Savaliya |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1235556358 PECOS PAC ID: 9931332749 Enrollment ID: I20220812003213 |
| Provider Name | Wasim Mansour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649627696 PECOS PAC ID: 0547593667 Enrollment ID: I20221024002157 |
| Provider Name | Jinhee Bratu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093189698 PECOS PAC ID: 5496052706 Enrollment ID: I20230501000877 |
| Provider Name | Esther Ajjarapu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952630725 PECOS PAC ID: 0446435838 Enrollment ID: I20230712000289 |
| Provider Name | Joshua Alan Emdur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649218389 PECOS PAC ID: 4183637077 Enrollment ID: I20230821000742 |
| Provider Name | Lindsay Trudeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659896249 PECOS PAC ID: 4688940182 Enrollment ID: I20230821002189 |
| Provider Name | Jeffrey Lee Katz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992757264 PECOS PAC ID: 4082672985 Enrollment ID: I20230821002527 |
| Provider Name | Alysia C Ogburia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053375782 PECOS PAC ID: 4385605534 Enrollment ID: I20230827000035 |
| Provider Name | Rhona A Hyman Duhaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932368792 PECOS PAC ID: 6901970128 Enrollment ID: I20230928000444 |
| Provider Name | Lori Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063878189 PECOS PAC ID: 6800191586 Enrollment ID: I20231005003616 |
| Provider Name | John P Beavers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003066143 PECOS PAC ID: 9638230311 Enrollment ID: I20231010003147 |
| Provider Name | Rebecca Hamm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801349832 PECOS PAC ID: 8628366143 Enrollment ID: I20231019002836 |
| Provider Name | Stephen Douglas Boyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518927862 PECOS PAC ID: 3072598523 Enrollment ID: I20231104000700 |
| Provider Name | Cheresse Nadir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326372947 PECOS PAC ID: 0840339321 Enrollment ID: I20231122000121 |
| Provider Name | Jason Bryan Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477051167 PECOS PAC ID: 3375803257 Enrollment ID: I20231128003660 |
| Provider Name | Kevin J Lundell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992204556 PECOS PAC ID: 9234480468 Enrollment ID: I20231129003908 |
| Provider Name | Levi Rizk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861785982 PECOS PAC ID: 5092949792 Enrollment ID: I20231209000058 |
| Provider Name | Rebecca Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043802234 PECOS PAC ID: 3971955626 Enrollment ID: I20240201001031 |
| Provider Name | Charles W Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780652792 PECOS PAC ID: 0941210314 Enrollment ID: I20240220000618 |
| Provider Name | Alec J Weir |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346683232 PECOS PAC ID: 4981997038 Enrollment ID: I20240307003065 |
| Provider Name | Kandi Mari Heath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275887531 PECOS PAC ID: 9537312798 Enrollment ID: I20240315002168 |
| Provider Name | Colleen Gabriel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568947208 PECOS PAC ID: 5597019349 Enrollment ID: I20240327002252 |
| Provider Name | Nabeel Saghir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417487323 PECOS PAC ID: 3173898301 Enrollment ID: I20240327002668 |
| Provider Name | Sheridan Latoya Major-moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073905121 PECOS PAC ID: 0840581153 Enrollment ID: I20240409001823 |
Evergreen Adult Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20 Frederick Rd, Thurmont, MD 21788 Phone: 301-979-9636 Fax: 717-338-9070 | |
Tjb Holdings Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 W Main St, Thurmont, MD 21788 Phone: 301-660-3095 Fax: 301-235-1528 | |
Amreen S Aziz Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 S Center St, Thurmont, MD 21788 Phone: 301-271-4333 | |
Catoctin Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 S Center St, Thurmont, MD 21788 Phone: 301-271-4333 Fax: 301-271-7486 | |
Amreen S Aziz Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 S Center St, Thurmont, MD 21788 Phone: 301-271-4333 Fax: 301-271-7486 |