KEITH BUMEDER (NPI# 1861700643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861700643 |
| Entity Type | Individual |
| Full Name | KEITH BUMEDER |
| Credential | PA-C |
| Practice Address |
175 Martin Ave Suite 340 Ephrata PA 17522-1761 |
| Mailing Address |
3421 Concord Rd York PA 17402-9001 |
| Practice Telephone | 7177218789 |
| Practice Fax Number | 7177218751 |
| Mailing Telephone | 7177218789 |
| Mailing Fax Number | 7177218751 |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2016-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | C5-T000108 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA054613 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
175 MARTIN AVE SUITE 340 |
| City | EPHRATA |
| State | PA |
| Zip Code | 17522-1761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013909829 | Jane E. Hearren | Midwife | 175 Martin Ave, Ste 125, Ephrata, PA 17522-1761 | 2005-08-17 |
| 1437512258 | Robin Woollens Lynn | Obstetrics & Gynecology | 175 Martin Ave, Suite 125, Ephrata, PA 17522-1761 | 2016-03-30 |
| 1174941199 | Danica Beebe | Advanced Practice Midwife | 175 Martin Ave, Suite 125, Ephrata, PA 17522-1761 | 2014-04-07 |
| 1952735144 | Lori Jean Conley | Advanced Practice Midwife | 175 Martin Ave, Suite 125, Ephrata, PA 17522-1761 | 2013-08-25 |
| 1841637733 | Ephrata Community Hospital | Preventive Medicine | 175 Martin Ave, Suite 355, Ephrata, PA 17522-1761 | 2013-05-31 |
| 1245587740 | Sonia Shashank Shah | Obstetrics & Gynecology | 175 Martin Ave, Ephrata, PA 17522-1761 | 2012-08-14 |
| 1417215278 | Lucinda Grace Manges | Advanced Practice Midwife | 175 Martin Ave, Suite 125, Ephrata, PA 17522-1761 | 2012-04-30 |
| 1790083640 | Joy S Yoder | Advanced Practice Midwife | 175 Martin Ave, Suite 125, Ephrata, PA 17522-1761 | 2011-03-02 |
| 1497986111 | Lancaster Urological Group, Inc. | Urology | 175 Martin Ave, Suite 340, Ephrata, PA 17522-1761 | 2009-07-29 |
| 1770737181 | Northern Lancaster County Medical Group | Surgery | 175 Martin Ave, Suite 350, Ephrata, PA 17522-1761 | 2008-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427667336 | Indiju 4 Dental LLC | Clinic/Center | 4240 Oregeon Pk., Ephrata, PA 17522 | 2020-07-27 |
| 1134778251 | Anna Thornton | Pharmacist | Ephrata Outpatient Pharmacy-wellspan, 183 N. Reading Road, Suite 9, Ephrata, PA 17522 | 2019-09-11 |
| 1316320898 | Shivani Bista | Obstetrics & Gynecology | 175 Martin Ave Ste 125, Ephrata, PA 17522 | 2015-07-02 |
| 1336583475 | Ccjp, Inc. | In Home Supportive Care | 1060 S. State Street, Suite E, Ephrata, PA 17522 | 2013-04-19 |
| 1548503600 | Timothy Lawrence Basom | Physical Therapist | 136 E Lake St, Ephrata, PA 17522 | 2013-03-27 |
| 1316228406 | Cheryl L. Stephen | Nurse Practitioner | 466 N. Reading Rd, Suite 301, Ephrata, PA 17522 | 2011-09-01 |
| 1174833743 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 803 Oak Boulevard, Ephrata, PA 17522 | 2010-10-18 |
| 1487964953 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 957 Hammon Avenue, Ephrata, PA 17522 | 2010-10-18 |
| 1396957148 | Carl Richard Hankel | Nurse Practitioner | 4237 Oregon Pike, Worknet Occupational Medicine, Ephrata, PA 17522 | 2007-05-04 |
| 1396877726 | Regional Gastroenterology Associates of Lancaster, Ltd | Clinic/Center | 4140 Oregon Pike, Ephrata, PA 17522 | 2007-03-12 |
| Find all providers in zip 17522 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922080183 | Edmond Wayne Hendrickson | Physician Assistant | 200 Nat Washington Way, Ephrata, WA 98823-1982 | 2005-11-15 |
| 1578916532 | Samantha Greco | Physician Assistant | 3440b Rothsville Rd, Ephrata, PA 17522-8758 | 2016-07-14 |
| 1053770511 | Jocelyn Beckinger | Physician Assistant | 446 N Reading Rd, Ephrata, PA 17522-9802 | 2016-02-12 |
| 1265712152 | Suzanne Louise Dunn | Physician Assistant | 220 Nat Washington Way, Ephrata, WA 98823-1982 | 2011-08-23 |
| 1114206471 | Emi Elizabeth Papson | Physician Assistant | 169 Martin Ave, Ephrata, PA 17522-1724 | 2011-08-04 |
| 1629366125 | Christopher James Gallagher | Physician Assistant | 169 Martin Ave, Medical Staff Office, Ephrata, PA 17522-1724 | 2011-07-18 |
| 1902907470 | Kathleen Holloway | Physician Assistant | 220 Nat Washington Way, Ephrata, WA 98823 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355341 | Julia Majewicz Wilson | Physician Assistant | 111 Pa-715, #102, Brodheadsville, PA 18322 | 2020-10-29 |
| 1417557273 | Jared Michael Yon | Physician Assistant | 902 Dale Ave, Bradfordwoods, PA 15015-1236 | 2020-10-29 |
| 1295335230 | Jillian Ann Korgeski | Physician Assistant | 400 Corner St, Dunmore, PA 18512-2348 | 2020-10-29 |
| 1821697376 | Sidney Patel | Physician Assistant | 1834 Oregon Pike Ste 20, Lancaster, PA 17601-6463 | 2020-10-25 |
| 1629677356 | Jason Christopher Takacs Jr. | Physician Assistant | 510 Stockton Rdg, Cranberry Township, PA 16066-2280 | 2020-10-23 |
| 1467051763 | Molly Catherine Peters | Physician Assistant | 4338 Boone St, Philadelphia, PA 19128-4901 | 2020-10-19 |
| 1508465840 | Tran Quyen Tran | Physician Assistant | 2941 Hillside Rd, Broomall, PA 19008-1304 | 2020-10-19 |
| 1275132656 | Jessica Haley Stecklein | Physician Assistant | 696 Fir Ave, Langhorne, PA 19047-5450 | 2020-10-18 |
| 1083212625 | Kele Ferreira | Physician Assistant | 1201 Sandhill Rd, Lebanon, PA 17046-1943 | 2020-10-15 |
| 1386251619 | Nicholas James Lazorka | Physician Assistant | 195 Chapmans Round Top Rd, Montoursville, PA 17754-7508 | 2020-09-30 |
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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.