SUMMIT PHYSICIAN SERVICES (NPI# 1790793636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790793636 |
| Entity Type | Organization |
| Organization Name | SUMMIT PHYSICIAN SERVICES |
| Other Organization Name | WELLSPAN OB/GYN |
| Practice Address |
12 St Paul Dr Ste 207 Chambersburg PA 17201-1035 |
| Mailing Address |
785 5th Ave Suite 3 Chambersburg PA 17201-4232 |
| Practice Telephone | 7172176882 |
| Practice Fax Number | 7172176883 |
| Mailing Telephone | 7172639555 |
| Mailing Fax Number | 7172174218 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-07-29 |
| 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 | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007307260046 | 05 | |
| PA | 1007307260123 | 05 | |
| PA | 1007307260171 | 05 | |
| PA | 1007307260112 | 05 |
| Other Name | Type Code |
|---|---|
| Summit Womens Group-Chambersburg | Doing Business As Name - Organization |
| WellSpan OB/GYN | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 120 N 7th St Ste 206, Chambersburg, PA 172011795 | 7172176882 | 7172176883 |
| 214 Peach Orchard Rd, Mc Connellsburg, PA 172338559 | 7174856125 | 7174856106 |
| 24 Antrim Commons Dr, Greencastle, PA 172251623 | 7177655086 | |
| 601 E Main St, Waynesboro, PA 172682332 | 7177655086 | |
| 97 Progress Blvd, Shippensburg, PA 172579053 | 7172176882 | 7172176883 |
| 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 207 |
| City | CHAMBERSBURG |
| State | PA |
| Zip Code | 17201-1035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063474864 | Sulang Rosado | Obstetrics & Gynecology | 12 St Paul Dr Ste 207, Chambersburg, PA 17201-1035 | 2006-04-05 |
| 1205434826 | Aubrey Rose Kendig | Advanced Practice Midwife | 12 St Paul Dr Ste 207, Chambersburg, PA 17201-1035 | 2020-10-15 |
| 1528628328 | Jessica Henry | Physician Assistant | 12 St Paul Dr Ste 207, Chambersburg, PA 17201-1035 | 2019-06-14 |
| 1659939783 | Selena Neiderer | Advanced Practice Midwife | 12 St Paul Dr Ste 207, Chambersburg, PA 17201-1035 | 2019-06-04 |
| 1003191198 | Ginger Renee Bricker | Nurse Practitioner | 12 St Paul Dr Ste 207, Chambersburg, PA 17201-1035 | 2011-10-20 |
| 1659668028 | Waymee Lwin Conner | Obstetrics & Gynecology | 12 St Paul Dr Ste 207, Chambersburg, PA 17201-1035 | 2011-07-06 |
| 1689838096 | Angelique Luzon Ridore | Obstetrics & Gynecology | 12 St Paul Dr Ste 207, Chambersburg, PA 17201-1035 | 2008-07-15 |
| 1356376511 | Christine A Molloy | Obstetrics & Gynecology | 12 St Paul Dr Ste 207, Chambersburg, PA 17201-1035 | 2006-07-12 |
| 1154356319 | Constance I Glass | Obstetrics & Gynecology | 12 St Paul Dr Ste 207, Chambersburg, PA 17201-1035 | 2006-07-12 |
| 1295774891 | Cherish Divina Eby | Physician Assistant | 12 St Paul Dr Ste 207, Chambersburg, PA 17201-1035 | 2006-06-06 |
| Find all providers in the same location | ||||
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063474864 | Sulang Rosado | Obstetrics & Gynecology | 12 St Paul Dr Ste 207, Chambersburg, PA 17201-1035 | 2006-04-05 |
| 1699772491 | Carolyn Benenati | Obstetrics & Gynecology | 830 5th Ave Ste 202, Chambersburg, PA 17201-4224 | 2005-07-07 |
| 1881691012 | Thomas Patrick Orndorf | Obstetrics & Gynecology | 830 5th Ave, Suite 202, Chambersburg, PA 17201-4224 | 2005-07-01 |
| 1972952919 | Neesaytee Kimberly Boulden | Obstetrics & Gynecology | 12 St Paul Dr, Chambersburg, PA 17201-1035 | 2016-06-09 |
| 1245646215 | Ekaterina Tchmoutina | Obstetrics & Gynecology | 830 5th Ave Ste 202, Chambersburg, PA 17201-4224 | 2014-07-10 |
| 1770997041 | Radha Rani Padhy | Obstetrics & Gynecology | 830 5th Ave Ste 202, Chambersburg, PA 17201 | 2014-06-16 |
| 1902224546 | Emily Elizabeth Griffin | Obstetrics & Gynecology | 830 5th Ave Ste 202, Chambersburg, PA 17201-4224 | 2014-04-01 |
| 1659668028 | Waymee Lwin Conner | Obstetrics & Gynecology | 12 St Paul Dr Ste 207, Chambersburg, PA 17201-1035 | 2011-07-06 |
| 1659699510 | Phoenix Wellness and Physical Restoration Center, Pllc | Obstetrics & Gynecology | 1124 Kennebec Drive, Chambersburg, PA 17201 | 2010-05-17 |
| 1689838096 | Angelique Luzon Ridore | Obstetrics & Gynecology | 12 St Paul Dr Ste 207, Chambersburg, PA 17201-1035 | 2008-07-15 |
| Find all providers in CHAMBERSBURG | ||||
| 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.