SUMMIT PHYSICIAN SERVICES (NPI# 1265655633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265655633 |
| Entity Type | Organization |
| Organization Name | SUMMIT PHYSICIAN SERVICES |
| Other Organization Name | WELLSPAN PLASTIC SURGERY & SKIN CARE |
| Practice Address |
12 St Paul Dr Ste 104 Chambersburg PA 17201-1033 |
| Mailing Address |
785 5th Avenue Suite 3 Chambersburg PA 17201-4232 |
| Practice Telephone | 7172638463 |
| Practice Fax Number | 7172631103 |
| Mailing Telephone | 7172639555 |
| Mailing Fax Number | 7172174217 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2019-12-02 |
| Authorized Official Name | LISSA N. HINCKLE (SENIOR VP OF PHYSICIAN SERVICES) |
| Authorized Official Telephone | 7172674839 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | MA052608 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
MD451341 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007307260071 | 05 |
| Other Name | Type Code |
|---|---|
| Summit Plastic Surgery and Skin Care Center | Doing Business As Name - Organization |
| WellSpan Plastic Surgery & Skin Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053873091 | Summit Physician Services | Clinic/Center | 24 Antrim Commons Drive, Greencastle, PA 17225-1623 | 2019-04-01 |
| 1376911701 | Summit Physician Services | Clinic/Center | Giant, 993 Wayne Avenue, Chambersburg, PA 17201-3895 | 2015-09-02 |
| 1265447692 | Summit Physician Services | Nurse Practitioner | 1610 Orchard Drive, Chambersburg, PA 17201-9206 | 2006-07-31 |
| 1699796268 | Summit Physician Services | Audiologist | 22 St Paul Dr Ste 202, Chambersburg, PA 17201-1033 | 2006-07-21 |
| 1285692434 | Summit Physician Services | Physician Assistant | 6155 Anthony Hwy, Waynesboro, PA 17268-9718 | 2006-05-03 |
| 1306840814 | Summit Physician Services | Anesthesiology | 785 5th Avenue, Suite 3, Chambersburg, PA 17201-4232 | 2005-06-13 |
| 1023645389 | Summit Physician Services | Internal Medicine | 2055 Scotland Ave, Chambersburg, PA 17201-1451 | 2020-03-26 |
| 1821622796 | Summit Physician Services | Neurological Surgery | 12 St Paul Dr, Chambersburg, PA 17201-1035 | 2020-02-28 |
| 1073152922 | Summit Physician Services | Clinic/Center | 112 N 7th St, Chambersburg, PA 17201-1720 | 2019-12-24 |
| 1013555119 | Summit Physician Services | Internal Medicine | 765 5th Ave, Chambersburg, PA 17201-4228 | 2019-12-19 |
| Street Address |
12 ST PAUL DR STE 104 |
| City | CHAMBERSBURG |
| State | PA |
| Zip Code | 17201-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477653988 | Pamela D Ross | Physician Assistant | 12 St Paul Dr Ste 104, Chambersburg, PA 17201-1035 | 2006-09-24 |
| 1972065944 | Summit Physician Services | Dermatology | 12 St Paul Dr Ste 104, Chambersburg, PA 17201-1035 | 2019-04-01 |
| 1376672030 | Wayne Ledinh | Plastic Surgery | 12 St Paul Dr Ste 104, Chambersburg, PA 17201-1035 | 2007-03-05 |
| 1871653519 | Summit Physician Services | Surgery | 12 St Paul Dr Ste 104, Chambersburg, PA 17201-1033 | 2006-12-11 |
| 1154404135 | Amy E Capone | Physician Assistant | 12 St Paul Dr Ste 104, Chambersburg, PA 17201-1035 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902496 | Kerin Bielecki | Pharmacist | 1730 Lincoln Way West, Chambersburg, PA 17201 | 2020-11-02 |
| 1750995833 | Emily Suzanne Benfer | Occupational Therapist | 32 Parkwood Drive, Chambersburg, PA 17201 | 2020-09-04 |
| 1225688559 | Oneskin Dermatology LLC | Clinic/Center | 211 Grant Street, Chambersburg, PA 17201 | 2019-09-18 |
| 1679033963 | Hospice of Washington County, Inc. | Hospice Care, Community Based | 209 Grant Street, Chambersburg, PA 17201 | 2019-03-22 |
| 1659837540 | Dialysis Care Center Chambersburg LLC | Clinic/Center | 20 Parkwood Drive, Suite 1, Chambersburg, PA 17201 | 2019-02-15 |
| 1518423623 | Wolter Advanced Dental Care | Durable Medical Equipment & Medical Supplies | 20 Parkwood Dr., Ste 3, Chambersburg, PA 17201 | 2019-02-13 |
| 1972059202 | Lindsey Rae Hyatt | Physician Assistant | 761 Park Fifth Avenue, Chambersburg, PA 17201 | 2016-08-28 |
| 1093176943 | Marcia Rebert | Counselor | 1212 Progress Road, Chambersburg, PA 17201 | 2016-03-18 |
| 1669833471 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 968 Norland Avenue, Chambersburg, PA 17201 | 2016-03-08 |
| 1104283324 | Meagen Louise Stouffer | Acupuncturist | 394 Floral Ave, Chambersburg, PA 17201 | 2016-01-19 |
| Find all providers in zip 17201 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326698549 | Michael Shafran Do PC | Surgery | 2 Park Ln Fl 3, Feasterville Trevose, PA 19053-6004 | 2019-09-19 |
| 1255873915 | Lam Plastic Surgery LLC | Surgery | 848 Town Center Drive, Langhorne, PA 19047-3439 | 2016-11-12 |
| 1487029971 | Philip Lipkin | Surgery | 233 S 6th St Apt 2101, Philadelphia, PA 19106-3756 | 2015-12-09 |
| 1477865566 | Ralph W Hamilton | Surgery | 847 Willow Valley Lakes Dr, Willow Street, PA 17584-9040 | 2010-07-06 |
| 1770801870 | Irene Teting Ma | Surgery | 3550 Terrace St 664 Scaife Hall, Pittsburgh, PA 15261 | 2010-05-13 |
| 1649408162 | Michael David Lado | Surgery | 1828 Ridgewood Rd, Orwigsburg, PA 17961-9525 | 2009-06-23 |
| 1245490515 | Wellspan Medical Group | Surgery | 50 Wyntre Brooke Dr, York, PA 17403-4535 | 2008-06-11 |
| 1982813853 | Wellington Joseph Davis IIi | Surgery | 1210 S Cedar Crest Blvd Ste 100, Allentown, PA 18103-6229 | 2007-05-21 |
| 1043423502 | James William Slavin | Surgery | 8216 Cedar Rd., Elkins Park, PA 19027-2114 | 2007-05-08 |
| 1467679787 | Amelia Arianne Pare Md PC | Surgery | 123 Hidden Valley Rd, Mc Murray, PA 15317-2603 | 2007-04-19 |
| Find all providers with the same taxonomy | ||||
| City | CHAMBERSBURG |
| Zip Code | 17201 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.