Ricky Daniel Heath (NPI# 1285977413, PAC ID# 5698093763) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GERIATRIC MEDICINE.
Nation Provider ID (NPI) | 1285977413 |
PAC ID by PECOS | 5698093763 |
Professional Enrollment ID | I20190730001517 |
Full Name | Ricky Daniel Heath |
Organization Legal Name | WELLSPAN MEDICAL GROUP |
Address |
720 Norman Dr Wellspan Family Medicine Norman Drive Lebanon PA 17042-7481 |
Phone Number | 7176393230 |
Gender | M |
Graduation Year | 2013 |
Primary Specialty | GERIATRIC MEDICINE |
Secondary Specialties | INTERNAL MEDICINE |
Group Practice PAC ID | 1951213115 |
Number of Group Practice Members | 1060 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
390066 | GOOD SAMARITAN HOSPITAL |
Address | Phone | Organization |
---|---|---|
720 Norman Dr, Wellspan Family Medicine Norman Drive, Lebanon, PA 17042-7481 | 7176393230 | WELLSPAN MEDICAL GROUP |
Organization Legal Name | WELLSPAN MEDICAL GROUP |
Physicians | 1155 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rebecca Sitler | Physician Assistant | Wellspan Medical Group | 1600 S George St, York, PA 17403-4508 |
Amber Rickrode | Nurse Practitioner | Wellspan Medical Group | 671 Wilson Ave, Hanover, PA 17331-9519 |
Konrad Michael Dziamski | Rheumatology | Wellspan Medical Group | 292 St Charles Way, Wellspan Rheumatology, York, PA 17402-4648 |
Detrich Brown | Nurse Practitioner | Wellspan Medical Group | 1401 Roosevelt Ave, York, PA 17404-2244 |
Patricia Martha Zahner | Urology | Wellspan Medical Group | 450 S Washington St, Suite E Wellspan Urology, Gettysburg, PA 17325-2500 |
Obioma J. Igboko | Pain Management | Wellspan Medical Group | 1227 Baltimore St, Hanover, PA 17331-4406 |
Courtney Erin Krug | Radiation Oncology | Wellspan Medical Group | 35 Monument Rd, Suite 201, York, PA 17403-5074 |
Matthew James Mccarl | Family Medicine | Wellspan Medical Group | 100 Frederick St, Suite 101, Hanover, PA 17331-3518 |
Alyson Hope Neiheiser | Nurse Practitioner | Wellspan Medical Group | 136 Lake St, Ephrata, PA 17522-2415 |
Shouk Mansour | Registered Dietitian Or Nutrition Professional | Wellspan Medical Group | 292 Saint Charles Way, Wellspan Endocrinology, York, PA 17402-4648 |
Street Address |
720 NORMAN DR WELLSPAN FAMILY MEDICINE NORMAN DRIVE |
City | LEBANON |
State | PA |
Zip | 17042-7481 |
Name | Specialty | Organization | Address |
---|---|---|---|
Denise R Centini | Physician Assistant | Wellspan Medical Group | 720 Norman Dr, Wellspan Family Medicine Norman Drive, Lebanon, PA 17042-7481 |
Jennifer Lynn Lee | Family Medicine | Wellspan Medical Group | 720 Norman Dr, Wellspan Family Medicine Norman Drive, Lebanon, PA 17042-7481 |
William T Merchant | Family Medicine | Wellspan Medical Group | 720 Norman Dr, Wellspan Family Medicine Norman Drive, Lebanon, PA 17042-7481 |
Katelyn Marie Shoe | Family Medicine | Wellspan Medical Group | 720 Norman Dr, Wellspan Family Medicine Norman Drive, Lebanon, PA 17042-7481 |
Name | Specialty | Organization | Address |
---|---|---|---|
Susan M. Renz | Nurse Practitioner | Inpatient Consultants of Pennsylvania PC | 4 Th and Walnut Streets, Lebanon, PA 17042-1281 |
Wendy Lauren Babitt | Infectious Disease | Tower Health Medical Group | 4 Th and Walnut Streets 2nd Floor, Infectious Diseases Tower Health Medical Group, Lebanon, PA 17042-1281 |
Oluwadamilola Ekundayo Fowowe | Nurse Practitioner | Inpatient Consultants of Pennsylvania PC | 4 Th and Walnut Streets, Lebanon, PA 17042-1281 |
Caroline K Mcwilliams | Internal Medicine | Inpatient Consultants of Pennsylvania PC | 4 Th and Walnut Streets, Lebanon, PA 17042-1281 |
Andrew C Fink | Chiropractic | 2234 W Cumberland St, Cleona Chiropractic, Lebanon, PA 17042-2583 | |
John M Eder | Optometry | 2627 W Cumberland St, Lebanon, PA 17042-2585 | |
David P Potena | Physical Therapy | 32 W Penn Ave, Cleona, PA 17042-3201 | |
Raymond Demaio | Ophthalmology | Bouquet Mulligan Demaio Eye Professionals P.C. | 233 W Penn Ave, Cleona, PA 17042-3230 |
Esther F Wolford | Optometry | Bouquet Mulligan Demaio Eye Professionals P.C. | 233 W Penn Ave, Cleona, PA 17042-3230 |
Charles A Druckman | Optometry | Bouquet Mulligan Demaio Eye Professionals P.C. | 233 W Penn Ave, Cleona, PA 17042-3230 |
Find all physicians in zip 17042 |
City | LEBANON |
Zip Code | 17042 |
Specialty | GERIATRIC MEDICINE |
City + Specialty | LEBANON + GERIATRIC MEDICINE |
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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.