FAMILY MEDICINE AT SPRING GROVE LLC (NPI# 1164688131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164688131 |
| Entity Type | Organization |
| Organization Name | FAMILY MEDICINE AT SPRING GROVE LLC |
| Other Organization Name | NANCY A. FAULKNER MD |
| Practice Address |
24 Roth's Church Road Spring Grove PA 17362 |
| Practice Telephone | 7177398174 |
| Practice Fax Number | 7177398180 |
| Mailing Telephone | 7177398174 |
| Mailing Fax Number | 7177398180 |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2009-03-24 |
| Authorized Official Name | DR. NANCY ANN FAULKNER (PHYSICIAN, OWNER OF BUSINESS/LLC) |
| Authorized Official Telephone | 7177398174 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD424789 | PA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Nancy A. Faulkner MD | Other Name - Individual/Organization |
| Street Address |
24 ROTH'S CHURCH ROAD |
| City | SPRING GROVE |
| State | PA |
| Zip Code | 17362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083938419 | Sara Elizabeth Clymer | Obstetrics & Gynecology | 2030 Thistle Hill Dr Ste 100, Spring Grove, PA 17362 | 2010-03-14 |
| 1164538682 | Michele Prince | Marriage & Family Therapist | 118 S Main St, 1st Floor, Spring Grove, PA 17362 | 2006-08-21 |
| 1043202898 | Spring Grove Area Ambulance Club | Ambulance | 75 S Main St, Spring Grove, PA 17362-1015 | 2005-08-18 |
| 1083648067 | Kennies Market Inc | Pharmacy | 440 N Main St, Spring Grove, PA 17362-1122 | 2006-07-10 |
| 1518433200 | Jessica Guinard | Nurse Practitioner | 430 N Main St Ste 4, Spring Grove, PA 17362-1123 | 2018-10-19 |
| 1457831638 | Wellspan Medical Group | Family Medicine | 430 N Main St, Spring Grove, PA 17362-1123 | 2018-08-17 |
| 1063751113 | Rita Jane Clayton | Nurse Practitioner | 430 N Main St, Spring Grove, PA 17362-1123 | 2013-02-10 |
| 1104009927 | Linda M Taylor Md LLC | Family Medicine | 430 N Main St, Spring Grove, PA 17362-1123 | 2007-12-15 |
| 1871572644 | Puneet K Gupta | Family Medicine | 285 N Main St, Spring Grove, PA 17362-1134 | 2006-01-11 |
| 1508915844 | Main Street Family Medicine of Spring Grove, Inc. | Family Medicine | 285 N Main St, Spring Grove, PA 17362-1134 | 2007-01-09 |
| Find all providers in zip 17362 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124242243 | Elizabeth J. Devaney | Family Medicine | 7005 Johnsburg Rd, Spring Grove, IL 60081-9365 | 2007-04-12 |
| 1669564266 | Nancy Ann Faulkner | Family Medicine | 22 Roth Church Rd, Spring Grove, PA 17362-1406 | 2006-09-29 |
| 1538268354 | Howard Henry Farrington IIi | Family Medicine | 2030 Thistle Hill Dr Ste 200, Spring Grove, PA 17362-1161 | 2006-09-21 |
| 1548232192 | Tammy L Mcbride | Family Medicine | 2030 Thistle Hill Dr, Suite 100, Spring Grove, PA 17362-1159 | 2006-02-07 |
| 1871572644 | Puneet K Gupta | Family Medicine | 285 N Main St, Spring Grove, PA 17362-1134 | 2006-01-11 |
| 1215931696 | Gregory N Tjossem | Family Medicine | 123 5th Ave Se, Spring Grove, MN 55974-1318 | 2005-06-13 |
| 1548263122 | Glenn P Mccarty | Family Medicine | 125 5th Ave Se, Spring Grove, MN 55974-1318 | 2005-05-27 |
| 1457831638 | Wellspan Medical Group | Family Medicine | 430 N Main St, Spring Grove, PA 17362-1123 | 2018-08-17 |
| 1326526294 | Pinnacle Health Medical Services | Family Medicine | 2030 Thistle Hill Dr, Spring Grove, PA 17362-1159 | 2018-08-02 |
| 1104009927 | Linda M Taylor Md LLC | Family Medicine | 430 N Main St, Spring Grove, PA 17362-1123 | 2007-12-15 |
| Find all providers in SPRING GROVE | ||||
| City | SPRING GROVE |
| Zip Code | 17362 |
Please comment or provide details below to improve the information on FAMILY MEDICINE AT SPRING GROVE LLC.
| 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.