DR. PETER GLENN WALLICK (NPI# 1548360514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548360514 |
| Entity Type | Individual |
| Full Name | DR. PETER GLENN WALLICK |
| Credential | M.D. |
| Practice Address |
2000 Scotland Ave Chambersburg PA 17201-1452 |
| Practice Telephone | 7172637788 |
| Practice Fax Number | 7172637609 |
| Mailing Telephone | 7172637788 |
| Mailing Fax Number | 7172637609 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2012-10-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 044-299-L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BLUE SHIELD | 678804 | 01 |
| PA | CHAMPUS-TRICARE | PO00756 | 01 |
| PA | 001253180 0003 | 05 | |
| PA | DEPT. OF LABOR (WC) | 347968700 | 01 |
| PA | 001253180 0002 | 05 | |
| PA | BLUE CROSS | 01041201 | 01 |
| Street Address |
2000 SCOTLAND AVE |
| City | CHAMBERSBURG |
| State | PA |
| Zip Code | 17201-1452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356575013 | Center for Dermatology PC | Dermatology | 2000 Scotland Ave, Chambersburg, PA 17201-1452 | 2009-05-11 |
| 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 | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376672030 | Wayne Ledinh | Plastic Surgery | 12 St Paul Dr Ste 104, Chambersburg, PA 17201-1035 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588298418 | Grunwaldt Falbo Pllc | Plastic Surgery | 873 Bebout Rd, Venetia, PA 15367-1215 | 2020-03-01 |
| 1528606654 | Everest Medspa LLC | Plastic Surgery | 6787 Market St Ste 106, Upper Darby, PA 19082-1848 | 2019-12-19 |
| 1851939771 | Ericka Culp | Plastic Surgery | 5750 Centre Ave Ste 360, Pittsburgh, PA 15206-3761 | 2019-12-11 |
| 1346742871 | Andrea Kristin Chamberlain | Plastic Surgery | 1614 Washington Rd, Pittsburgh, PA 15241-1210 | 2018-02-28 |
| 1205348141 | Kp Aesthetics, LLC. | Plastic Surgery | 4675 W Chester Pike, Newtown Square, PA 19073-2227 | 2017-11-01 |
| 1346765229 | Denise M. Kenna, M.d. | Plastic Surgery | 2350 Freedom Way Ste 107, York, PA 17402-8200 | 2017-08-11 |
| 1467973305 | Hr Physician Services | Plastic Surgery | 3300 Tillman Dr Ste 201, Bensalem, PA 19020-2071 | 2017-06-30 |
| 1598293979 | Andrea Rae Hiller | Plastic Surgery | 500 University Dr # Mch071, Hershey, PA 17033 | 2017-05-30 |
| 1295116473 | Shagun Aggarwal | Plastic Surgery | 3400 Civic Center Blvd Fl 7, Division of Plastic Surgery, University of Pennsylvania, Philadelphia, PA 19104-5163 | 2015-06-14 |
| 1598152852 | Brenton Robinson | Plastic Surgery | 3550 Terrace Street Scaife Hall Suite 668, Pittsburgh, PA 15261-5640 | 2015-04-23 |
| 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.