Andrew David Wagenheim (NPI# 1689701815, PAC ID# 5799888749) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1689701815 |
| PAC ID by PECOS | 5799888749 |
| Professional Enrollment ID | I20070312000220 |
| Full Name | Andrew David Wagenheim |
| Organization Legal Name | FC SELECT LLC |
| Address |
550 N 12th St Suite 120 Lemoyne PA 17043-1242 |
| Phone Number | 7177379818 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0648445163 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390067 | PINNACLE HEALTH HOSPITALS |
| Address | Phone | Organization |
|---|---|---|
| 3025 Market St, Camp Hill, PA 17011-4518 | 7177377903 | PHS PHYSICAL THERAPY LLC |
| 3399 Trindle Rd, Camp Hill, PA 17011-4407 | 7177615530 | ORTHOPEDIC SURGEONS LTD |
| 3399 Trindle Rd, Fl 2, Camp Hill, PA 17011-4407 | 7179202620 | ORTHOPEDIC SURGEONS LTD |
| 80 Newberry Commons Dr, Select P T 27032, Etters, PA 17319-9358 | 7179380584 | FC SELECT LLC |
| 2501 N 3rd St, Harrisburg, PA 17110-1904 | 7177822100 | PINNACLE HEALTH MEDICAL SERVICES |
| 2501 N 3rd St 2nd Fl Kline Hc, Reach Program, Harrisburg, PA 17110-1904 | 7177822363 | PINNACLE HEALTH MEDICAL SERVICES |
| 2501 N 3rd St 2nd Flr Landis Bldg, Strength Maternal Addiction Program, Harrisburg, PA 17110-1904 | 7179881672 | PINNACLE HEALTH MEDICAL SERVICES |
| 2501 N 3rd St Fl, 2 Kline Health Center, Harrisburg, PA 17110-1904 | 7177822100 | PINNACLE HEALTH MEDICAL SERVICES |
| 4033 Linglestown Rd, Suite 2, Harrisburg, PA 17112-1153 | 7179205002 | FC SELECT LLC |
| 4310 Londonderry Rd, Suite 1b, Harrisburg, PA 17109-5302 | 7177912620 | PINNACLE HEALTH MEDICAL SERVICES |
| 450 Powers Ave, Harrisburg, PA 17109-5933 | ORTHOPEDIC SURGEONS LTD | |
| 7011 Allentown Blvd, Suite 2, Harrisburg, PA 17112-3639 | 7179090470 | FC SELECT LLC |
| 550 N 12th St, Suite 120, Lemoyne, PA 17043-1242 | 7177379818 | FC SELECT LLC |
| 3 Baden Powell Ln, Suite 3, Mechanicsburg, PA 17050-5270 | 7177905404 | FC SELECT LLC |
| 503 Bridge St, Suite 9, New Cumberland, PA 17070-1972 | 7179803300 | PHS PHYSICAL THERAPY LLC |
| Organization Legal Name | FC SELECT LLC |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas C Walter | Physician Assistant | Fc Select LLC | 1 Valley St, Suite 104, Carlisle, PA 17013-3193 |
| Kori A Morgan | Nurse Practitioner | Fc Select LLC | 2 Kacey Ct, Suite 101, Mechanicsburg, PA 17055-9230 |
| Kit Y Lu | Hematology/oncology | Fc Select LLC | 4033 Linglestown Rd, Suite 2, Harrisburg, PA 17112-1153 |
| John Grandrimo | Orthopedic Surgery | Fc Select LLC | 32 W Shortcut Rd, Newport, PA 17074-8721 |
| Patricia L Himes | Nurse Practitioner | Fc Select LLC | 899 S Arlington Ave, Harrisburg, PA 17109-5004 |
| Rajinder K Sahi | Internal Medicine | Fc Select LLC | 550 N 12th St, Suite 120, Lemoyne, PA 17043-1242 |
| Daniel J Yarmel | Podiatry | Fc Select LLC | 4033 Linglestown Rd, Suite 2, Harrisburg, PA 17112-1153 |
| Curtis A Goltz | Orthopedic Surgery | Fc Select LLC | 2 Kacey Ct, Suite 101, Mechanicsburg, PA 17055-9230 |
| Allan Brian Grossman | Podiatry | Fc Select LLC | 2 Kacey Ct, Suite 101, Mechanicsburg, PA 17055-9230 |
| Jessica M Luckenbaugh Rubertone | Family Medicine | Fc Select LLC | 2 Kacey Ct, Suite 101, Mechanicsburg, PA 17055-9230 |
| Street Address |
550 N 12TH ST SUITE 120 |
| City | LEMOYNE |
| State | PA |
| Zip | 17043-1242 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Werner | Orthopedic Surgery | Spirit Physician Services Inc | 550 N 12th St, 140 Holy Spirit Orthopaedic Surgery, Lemoyne, PA 17043-1242 |
| Rajinder K Sahi | Internal Medicine | Fc Select LLC | 550 N 12th St, Suite 120, Lemoyne, PA 17043-1242 |
| Torre B Ruth | Orthopedic Surgery | Spirit Physician Services Inc | 550 N 12th St, 140 Holy Spirit Orthopaedic Surgery, Lemoyne, PA 17043-1242 |
| Donine M Shaffer | Occupational Therapy | 550 N 12th St, Suite 130, Lemoyne, PA 17043-1242 | |
| William Joseph Polacheck | Orthopedic Surgery | Fc Select LLC | 550 N 12th St, Suite 120, Lemoyne, PA 17043-1242 |
| Pamela H Shank | Physical Therapy | Spirit Physician Services Inc | 550 N 12th St, Lemoyne, PA 17043-1242 |
| Adam M Buerk | Orthopedic Surgery | Fc Select LLC | 550 N 12th St, Suite 120, Lemoyne, PA 17043-1242 |
| Jyoti Sharma | Orthopedic Surgery | Spirit Physician Services Inc | 550 N 12th St, 140 Holy Spirit Orthopaedic Surgery, Lemoyne, PA 17043-1242 |
| Stacey Louise Humes | Occupational Therapy | 550 N 12th St, Suite 130, Lemoyne, PA 17043-1242 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gouthami Boga | Cardiovascular Disease (cardiology) | Pinnacle Health Cardiovascular Institute Inc | 1000 N Front St, Wormleysburg, PA 17043-1021 |
| Kunal N Bodiwala | Cardiovascular Disease (cardiology) | Pinnacle Health Cardiovascular Institute Inc | 1000 N Front St, Wormleysburg, PA 17043-1021 |
| Shweta Aggarwal | Cardiovascular Disease (cardiology) | Pinnacle Health Cardiovascular Institute Inc | 1000 N Front St, Wormleysburg, PA 17043-1021 |
| Lauren Michele Hanly | Nurse Practitioner | Pinnacle Health Cardiovascular Institute Inc | 1000 N Front St, Wormleysburg, PA 17043-1021 |
| Christopher M Fetrow | Physician Assistant | Pinnacle Health Cardiovascular Institute Inc | 1000 N Front St, Wormleysburg, PA 17043-1021 |
| Kendra E Estep | Physician Assistant | Pinnacle Health Cardiovascular Institute Inc | 1000 N Front St, Wormleysburg, PA 17043-1021 |
| Michael E Marroquin | Physician Assistant | Pinnacle Health Cardiovascular Institute Inc | 1000 N Front St, Wormleysburg, PA 17043-1021 |
| Torrey R Schmidt | Cardiovascular Disease (cardiology) | Pinnacle Health Cardiovascular Institute Inc | 1000 N Front St, Wormleysburg, PA 17043-1021 |
| Megan E Witherow | Nurse Practitioner | Pinnacle Health Cardiovascular Institute Inc | 1000 N Front St, Wormleysburg, PA 17043-1021 |
| Jacob M High | Physician Assistant | Pinnacle Health Cardiovascular Institute Inc | 1000 N Front St, Wormleysburg, PA 17043-1021 |
| Find all physicians in zip 17043 | |||
| City | LEMOYNE |
| Zip Code | 17043 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LEMOYNE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Andrew David Wagenheim.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.