Amanda Bethany Adair
Amanda Bethany Gummo · Physician Assistant

Address: 3003 Elizabethtown Rd, Hershey, PA 17033-9323
Phone: 7178350700

Amanda Bethany Adair (NPI# 1215332515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1215332515
Entity Type Individual
Full Name Amanda Bethany Adair
Other Name Amanda Bethany Gummo
Credential PA-C
Gender Female
Practice Address 3003 Elizabethtown Rd
Hershey
PA 17033-9323
Practice Telephone 7178350700
Practice Fax Number 7178350702
Mailing Address 7 Dock Hill Rd
Middleburg
PA 17842-8910
Mailing Telephone 5708372123
Mailing Fax Number 5708372185
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2014-10-29
Last Update Date 2016-01-26

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers OA003618 PA

Physician Overview

NPI 1215332515
PAC ID by PECOS 4981927894
Professional Enrollment ID I20151006000791
Full Name Amanda B Adair
Organization Legal Name FAMILY PRACTICE CENTER PC
Phone Number 7178350700
Gender F
Graduation Year 2014
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 0244124212
Number of Group Practice Members 159
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
390067 PINNACLE HEALTH HOSPITALS
390256 MILTON S HERSHEY MEDICAL CENTER

Office Location

Street Address 3003 ELIZABETHTOWN RD
City HERSHEY
State PA
Zip Code 17033-9323

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376504449 Renaissance Healthcare of Hershey Physical Therapist 3003 Elizabethtown Rd, Hershey, PA 17033-9323 2006-03-29
1518468578 Tyler Lemmons Specialist/Technologist 3003 Elizabethtown Rd, Hershey, PA 17033-9323 2018-02-26
1922438779 Jerry Webber Specialist/Technologist 3003 Elizabethtown Rd, Hershey, PA 17033-9323 2013-11-14
1225195217 Stephen Arthur Hahn Physical Therapist 3003 Elizabethtown Rd, Hershey, PA 17033-9323 2007-01-02
1659438638 Paul Damian Curtin Family Medicine 3003 Elizabethtown Rd, Hershey, PA 17033-9323 2007-01-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366933186 Benjamin Abney General Practice Hershey Medical Center, 500 University Drive, Hershey, PA 17033 2018-05-29
1174014062 Sean Nutting Student in an Organized Health Care Education/Training Program 500 University Dr Dept Of, Hershey, PA 17033 2018-05-25
1215428198 Madeline Leo Student in an Organized Health Care Education/Training Program 500 University Dr Rm C1630, Hershey, PA 17033 2018-05-25
1447751144 Elizabeth Ashley Lohman Specialist/Technologist 665 Brook Drive, Hershey, PA 17033 2018-02-27
1730603440 Aleksandr Sviatchenko Student in an Organized Health Care Education/Training Program Penn State Health Milton S. Hershey Medical Center, 500 University Drive, Hershey, Pa, PA 17033 2017-08-03
1649706649 Natalia Katarzyna Pierwola-gawin Physical Therapist 500 University Dr. Mc A410, Hershey, PA 17033 2017-05-11
1205380854 Joseph Soon Park Student in an Organized Health Care Education/Training Program 200 Campus Drive, Suite 3100, Hershey, PA 17033 2016-08-12
1265897052 Chelsea M Lugone Nurse Practitioner 905 W Governor Rd Ste 320, Hershey, PA 17033 2015-12-21
1790171403 Kofi Owusu Student in an Organized Health Care Education/Training Program 500 University Dr, Hershey, PA 17033 2015-04-09
1992133789 Gina Laverne Charles Family Medicine 565 E Chocolate Ave, Hershey, PA 17033 2013-10-15
Find all providers in zip 17033

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164471611 Anne S Weaver Physician Assistant 35 Hope Dr Ste 104, Hershey, PA 17033-2086 2006-05-10
1619970936 Derek Flynn Physician Assistant 30 Hope Dr, Hershey, PA 17033-2036 2005-05-31
1730653809 Meghann Rebecca Slatosky Physician Assistant 500 University Dr, Hershey, PA 17033-2360 2019-01-11
1689158727 Arie Ella Yoder Physician Assistant 845 Fishburn Rd, Hershey, PA 17033-2015 2018-09-24
1346724770 Georgiy Yegiazarov Physician Assistant 500 University Dr, Hershey, PA 17033-2360 2018-09-21
1336621473 Rose K Sullivan-springhetti Physician Assistant 500 University Dr, Hershey, PA 17033-2360 2018-09-05
1336621614 Jennifer Ann Merris Physician Assistant 500 University Dr, Hershey, PA 17033 2018-09-03
1013495506 Amber Marceil Helsel Physician Assistant 500 University Dr, Hershey, PA 17033-2360 2018-08-06
1104312024 Sara Elizabeth Johnson Physician Assistant 500 University Dr, Hershey, PA 17033 2018-07-03
1841786761 Taylor E Ross Physician Assistant 500 University Dr, Hershey, PA 17033-2360 2018-07-03
Find all providers in HERSHEY

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City HERSHEY
Zip Code 17033

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Dataset Information

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.

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