IDEAL WELLNESS FAMILY PRACTICE, PC (NPI# 1639734213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639734213 |
| Entity Type | Organization |
| Organization Name | IDEAL WELLNESS FAMILY PRACTICE, PC |
| Practice Address |
701 Leon Ave Palmyra PA 17078-3554 |
| Mailing Address |
511 Byler Cir Lebanon PA 17042-4866 |
| Practice Telephone | 7172561820 |
| Mailing Telephone | 6097313478 |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-08-05 |
| Authorized Official Name | DR. JESSICA AMANDA ORNER (PRESIDENT) |
| Authorized Official Telephone | 6097313478 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 403 E Main St, Hummelstown, PA 170361861 | 7172561820 |
| Street Address |
701 LEON AVE |
| City | PALMYRA |
| State | PA |
| Zip Code | 17078-3554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558916239 | Lolita Feld | Family Medicine | 941 Park Drive, Palmyra, PA 17078 | 2019-08-08 |
| 1508384736 | Kelly Renee Black | Specialist/Technologist | 503 North Chestnut Street, Palmyra, PA 17078 | 2017-09-08 |
| 1174857643 | Jason John Castro | Occupational Therapist | 1273 South Forge Road, Palmyra, PA 17078 | 2009-09-30 |
| 1962694174 | Timothy Ryan Corl | Optometrist | 2901 Horseshoe Pike, Palmyra, PA 17078 | 2007-08-11 |
| 1740349216 | Ck Kc Inc | Pharmacy | 22 East Main Street, Palmyra Pharmacy & Gift Shop, Palmyra, PA 17078 | 2006-12-08 |
| 1396839742 | Khanh T. Bui | Pharmacist | 30 W. Main Street, Palmyra, PA 17078 | 2006-10-02 |
| 1548369028 | Ck-kc Ltc, Inc | Pharmacy | 1200 Grubb Street, Palmyra, PA 17078 | 2006-09-21 |
| 1669846507 | Kelly Christine Morris | Occupational Therapist | 2880 Horseshoe Pike, Palmyra, PA 17078 | 2015-11-16 |
| 1003287558 | Corl Eyecare, LLC | Optometrist | 2901 Horseshoe Pike, Palmyra, PA 17078 | 2015-10-09 |
| 1972727238 | Philhaven Residential | Psychiatric Residential Treatment Facility | 231 E Main St, Palmyra, PA 17078 | 2007-04-11 |
| Find all providers in zip 17078 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114560653 | Amy Beyer LLC | Clinic/Center | 2611 Thomas Jefferson Pkwy, Palmyra, VA 22963-5000 | 2019-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484961 | New Beginnings Healthcare, Pllc | Clinic/Center | 24 N 7th St, Stroudsburg, PA 18360-2266 | 2020-10-11 |
| 1164035267 | Vision On The Move | Clinic/Center | 1015 Toll St, Eddystone, PA 19022-1451 | 2020-08-28 |
| 1245859388 | Accommodating Healthcare Solutions, PC | Clinic/Center | 1744 Bridgetown Pike, Feasterville Trevose, PA 19053-2362 | 2020-04-09 |
| 1427684059 | Health Care Center LLC | Clinic/Center | 16e Hanover Street, Hanover St, Gettysburg, PA 17325 | 2020-03-16 |
| 1518591163 | True Rejuvenation Peptide and Hormone Replacement Therapy Pllc | Clinic/Center | 4523 W Ridge Rd, Erie, PA 16506-1435 | 2020-02-22 |
| 1881238988 | Slrmed LLC | Clinic/Center | 781 Easton Rd, Warrington, PA 18976-2019 | 2019-10-31 |
| 1487205167 | Careatc | Clinic/Center | 6340 Flank Dr, Harrisburg, PA 17112-2764 | 2019-09-24 |
| 1770134454 | Careatc | Clinic/Center | 1126 Walnut St Ste B, Lebanon, PA 17042-5939 | 2019-09-24 |
| 1023670189 | Avalon Primary Care, PC | Clinic/Center | 2160 Lincoln Hwy E Ste 1-a4, Lancaster, PA 17602-1150 | 2019-06-28 |
| 1235697061 | Family Vision Enterprises | Clinic/Center | 6201 N Front St Ste 119, Philadelphia, PA 19120-1541 | 2019-03-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on IDEAL WELLNESS FAMILY PRACTICE, PC.
| 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.