FOURTH TREE WELLNESS PLLC


Address: 1800 Carlisle Rd, Camp Hill, PA 17011-5909
Phone: 7176956104

FOURTH TREE WELLNESS PLLC (NPI# 1851900328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851900328
Entity Type Organization
Organization Name FOURTH TREE WELLNESS PLLC
Practice Address 1800 Carlisle Rd
Camp Hill
PA 17011-5909
Practice Telephone 7176956104
Practice Fax Number 7172976441
Mailing Telephone 7176956104
Mailing Fax Number 7172976441
Enumeration Date 2020-07-30
Last Update Date 2020-07-30
Authorized Official Name DANIEL KENNETH HODGE (MANAGING MEMBER, OWNER)
Authorized Official Telephone 7176956104
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RB0002X Internal Medicine
Specialization: Obesity Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Fourth Tree Health Doing Business As Name - Organization

Office Location

Street Address 1800 CARLISLE RD
City CAMP HILL
State PA
Zip Code 17011-5909

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457317570 John Stephen Snoke Family Medicine 1800 Carlisle Rd, Camp Hill, PA 17011-5909 2006-04-26
1295173235 Daniel Kenneth Hodge Jr. Internal Medicine 1800 Carlisle Rd, Camp Hill, PA 17011-5909 2013-06-12
1124368089 Spirit Physcian Services, Inc. Family Medicine 1800 Carlisle Rd, Camp Hill, PA 17011-5909 2013-02-28
1962560227 Snoke Family Practice Inc. Family Medicine 1800 Carlisle Rd, Camp Hill, PA 17011-5909 2006-12-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790241628 Harrisburg Home Care Home Health 1713 Hammel Road, R2, Harrisburg, PA 17011 2019-02-15
1427540269 Eldercare Solutions LLC Adult Companion 1926 Market Street, Camp Hill, PA 17011 2018-06-06
1538680244 Edward Joseph Hilton Dentist 3412 Trindle Road, Camp Hill, PA 17011 2017-07-03
1639609696 Alicia Taylor Brustein Physician Assistant 425 North 21st Street, Suite 405, Camp Hill, PA 17011 2017-06-13
1285166843 Betsy Earnest, Lpc, LLC Counselor 1509 Cedar Cliff Drive, Suite 4, Camp Hill, PA 17011 2017-03-31
1962852368 Angela Antonia Debo Family Medicine 3025 Market Street, Entrance B, Camp Hill, PA 17011 2016-06-16
1033567839 Timothy Zack Day Physician Assistant 897 Poplar Rd, Camp Hill, PA 17011 2016-06-02
1962864892 Tracy Byra Registered Nurse 15 Scarsdale Drive, Camp Hill, PA 17011 2016-03-21
1245634138 Charlotte Diane Hain Psychologist 781 Poplar Church Road, Camp Hill, PA 17011 2014-10-21
1205276805 Isaac S Chiang Optometrist South 32nd Street & Trindle Rd, Camp Hill, PA 17011 2013-06-27
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Taxonomy Information

Taxonomy Code 207RB0002X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Obesity Medicine

Taxonomy Definition

A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.
Notes: Source: American Board of Obesity Medicine, www.abom.org [7/1/2015: title and definition modified] Additional Resource: American Society of Bariatric Physicians, www.asbp.org.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578099487 American Comp.weight Loss Center Internal Medicine 719 E Lancaster Ave, Suite 705, Downingtown, PA 19335-2719 2017-05-11
1003176488 Langhorne Physician Services Internal Medicine 1205 Langhrn Nwtwn Rd Ste 310, Langhorne, PA 19047 2012-05-21
1043463250 Charles W. Seltzer Internal Medicine 1429 Walnut St, Suite 1101, Philadelphia, PA 19102-3218 2008-10-31
1629458518 New Start Medical, LLC Internal Medicine 5039 Swamp Rd, Suite 406, Fountainville, PA 18923-9667 2015-06-04
1114298528 Kimberly Ann Wolf Internal Medicine 2 Meridian Blvd, Wyomissing, PA 19610-3202 2012-01-16
1538450697 Poly-tech Sleep Services LLC Internal Medicine 1718 Welsh Rd, 2nd Floor; Suite C, Philadelphia, PA 19115-4213 2011-04-25
1265506166 Lehigh Valley Physician Group Internal Medicine 1243 S Cedar Crest Blvd, Suite 2200, Allentown, PA 18103-6268 2006-11-20

Competitor

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City CAMP HILL
Zip Code 17011

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Dataset Information

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.

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