Provider Directory for WellSpan Provider Network and Other Select Providers and Facilities (Tier 1 Benefit Level) - Beginning January 1, 2020 ...
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Provider Directory for WellSpan Provider Network and Other Select Providers and Facilities (Tier 1 Benefit Level) Beginning January 1, 2020 Please go to the following website to receive the most up-to-date provider listing: www.WellSpan.org/PopHealth
Glossary of terms Allergy & Immunology Endocrinology Gynecology Internal Medicine Allergy and Immunology is the Endocrinology is the diagnosis and Gynecology is the examination, Internal Medicine is the diagnosis diagnosis and treatment of treatment of problems stemming diagnosis and treatment of the and medical (nonsurgical) disorders caused by abnormal from the body’s hormone systems. female reproductive system. treatment of the internal problems reactions of the body’s immune These include metabolic of the body, focusing generally on system. This includes treatment of malfunctions, such as diabetes Hematology/ Oncology the treatment of adolescents and people with asthma, hay fever, and thyroid disorders. Oncology is the study, diagnosis adults. and certain types of skin diseases and treatment of cancer. or other allergic reactions. Family Practice Hematology is the study, diagnosis Maternal & Fetal Medicine Family Practice focuses on the and treatment of diseases of the Maternal & fetal medicine deals Anesthesiology comprehensive care of all blood and blood-forming tissues. with pregnant women and unborn Anesthesiology is the practice of members of a family. children. administering anesthetic to Hospice and Palliative Care patients to make them insensitive Gastroenterology Medicine Neonatal-Perinatal Medicine to pain during surgery or certain Gastroenterology is the diagnosis The professional organization for Neonatology focuses on the medical procedures. and treatment of disorders of the physicians taking care of people diagnosis, treatment and digestive organs including the at the end of management of problems in the Cardiovascular Disease stomach, bowels, liver, gallbladder life. newborn, such as prematurity or Cardiovascular Disease is the and related organs. respiratory disorders. study, diagnosis and treatment of Imaging diseases of the heart, lungs, and General Surgery Imaging is the specialty which Nephrology blood vessels, including heart General surgery includes surgery focuses on the utilization of Nephrology is the diagnosis and attacks, angina, abnormal heart and management of a broad radiant substances, to prevent, treatment of disorders of the rhythms, rheumatic heart disease, spectrum of surgical conditions diagnose and treat diseases kidney including fluid and mineral etc. affecting almost any area of the including cancer. imbalances, inadequate kidney body. function and hypertension. Cardiothoracic Surgery Imaging and Radiation Cardiothoracic Surgery focuses Geriatric Medicine Oncology Neurology on surgery of the heart, but also Geriatric Medicine is the study of Imaging and Radiation Oncology is Neurology is the diagnosis and can include other surgery of the aging and the treatment of the specialty which focuses on treatment of disorders of the chest area, from the lungs to the problems in the elderly frequently the utilization of radiant nervous system which commonly esophagus. addressing the psychological and substances, including x-rays and includes headaches, epilepsy, social aspects of aging, in addition radioactive isotopes to prevent, numbness, movement or memory Dermatology to the physical aspects. diagnose and treat diseases, loss. Dermatology is the study, including cancer. diagnosis and treatment of skin Gynecological Oncology diseases, including acne, Gynecological Oncology focuses Infectious Diseases psoriasis, warts, skin infections on the diagnosis and treatment of Infectious Diseases is the and skin cancer. disorders of the female specialty which focuses on reproductive system, including treatment of a broad range of tumors and cancer. infectious or contagious diseases including HIV/AIDS and
Glossary of terms Neurological Surgery Otolaryngology Plastic Surgery Urology Neurological Surgery is the Otolaryngology is the diagnosis Plastic Surgery focuses on the Urology is the study, diagnosis surgical treatment of disorders of and treatment of disorders and repair or reconstruction of defects and treatment of conditions related the nervous system, including the diseases of the ears, nose and or imperfections caused by injury, to the kidneys, bladder and brain, spinal cord and nerves. throat. the aging process, heredity, birth urethra. Urologists treat both men or disease. and women. Obstetrics & Gynecology Outpatient Therapy Services Obstetrics focuses on the Outpatient Physical, Occupational Podiatry Vascular Surgery management and treatment of and Speech Therapy Services Podiatry is the diagnosis and Vascular surgery focuses on pregnant women, including provide rehabilitation and support treatment of disorders and surgery of the veins and arteries. delivery of infants. Gynecology is services to persons recovering diseases of the foot and related the examination, diagnosis and from illness, injury or surgery. structures. Wound Care treatment of the female (These services may also be Wound care is a comprehensive reproductive system. obtained at most participating Pulmonary Disease program of specialized wound hospitals.) Pulmonary Medicine focuses on care management by highly-skilled Ophthalmology diagnosis and treatment of clinicians. Treatment modalities Ophthalmology is the study, Pain Management disorders of the respiratory include transcutaneous oxygen diagnosis and treatment of all eye (Anesthesiology) system, including treatment of measurement, dressing changes, and visual problems, as well as Physicians and other pain experts pneumonia, cancer, bronchitis, hyperbaric oxygen therapy, and medical and surgical disorders of choose from an extensive series emphysema and other disorders wound debridement. the eye. of diagnostic tests to precisely of the lungs. identify the source of a patient’s Optometry pain. Rheumatology A specialist trained to examine the Rheumatology is the diagnosis and eyes and to prescibe, supply, and Pediatrics treatment of disorders of the adjust glasses or contact lenses. Pediatrics is the study, diagnosis muscles and joints, including and treatment of medical arthritis and related disorders. Oral & Maxillofacial Surgery conditions in children from birth to Oral & Maxillofacial Surgery adolescence. Sports Medicine focuses on the medical and The field of medicine devoted to surgical treatment of diseases or Physical Medicine & athletic injuries. Doctors disorders involving the mouth and Rehabilitation specializing in sports medicine face. Physical Medicine & Rehabilitation help patients prevent and recover is the specialty dealing with the from a range of injuries. Orthopaedic Surgery treatment and rehabilitation of Orthopaedic Surgery is the use of patients with muscular or skeletal Urogynecology medical, surgical and physical injuries or diseases. Urogynecology is a surgical methods to treat problems of the subspecialty of urology and ligaments, joints, muscles, gynecology. tendons, and related structures.
WellSpan Provider Network Participating Providers Adams Lyle A Siddoway MD Talbot L Smith MD Advanced Heart Failure & Alva D Smith MD Transplant Cardiology Rakhshinda P Zafar MD Family First Health John P Zornosa MD 1275 York Rd WellSpan Cardiology Dermatology Ste 17 450 S Washington St Gettysburg, PA 17325 Suite A Phone: 717-337-9400 Dermatology Associates of Gettysburg, PA 17325-2500 Debra A Bell MD Phone: 717-339-3105 York Wanda D Filer MD Adnan S Malik MD 246 Hanover St Melanie K Finkenbinder MD Gettysburg, PA 17325-1911 Luis I Garcia MD Behavioral Health Phone: 717-741-4666 Asceline S Go MD Steven E Caplan MD Elizabeth A Horst DO WellSpan Philhaven Luciano J Iorizzo MD Marie L Kellett MD Ninad C Pendharkar MD Catherine R Mauss DO 40 V Twin Dr Heather L Salvaggio MD Hetal V Patel MD Ste 202 Laura S Spears MD Heather A Rosario PAC Gettysburg, PA 17325-7878 John G Stoner DO Junia P Tiruchelvam MD Phone: 717-339-2710 John G Stoner MD Oluwatomi O Uwazota MD Jennifer L Anderson LCSW Deborah A Asper LCSW Diabetes Treatment & Gettysburg Family Practice Brandi M Avery MS, NCC, LPC Education 524 S Washington St Marisa E Barra PhD Gettysburg, PA 17325-2594 Angelo J Fiordimondo PhD WellSpan Endocrinology Phone: 717-334-2183 Pradipta Majumder MD 820 Chambersburg Rd. William J Adair MD Syed Z Manzoor MD GETTYSBURG, PA 17325-3310 Douglas E Eyer MD Marivi S Mauricio-Tan MD Phone: 717-217-6820 Melissa C Kaminski PAC Mija Serrano LPC Barbara E Van Meerbeke LDN Dwight I Michael MD Johar A Shah MD Jennifer M Ruby LDN Adam I Wasserman MD Christopher E Silva PhD Nicole K Smith PAC Melissa T Benzon LDN Kanagasabapathy Julie A Staub LCSW Endocrinology Arumugarajah, MD Cardiothoracic Surgery 10 W King St WellSpan Endocrinology Littlestown, PA 17340 Phone: 717-359-7114 WellSpan Thoracic Surgery 40 V Twin Dr Kanagasabapathy Arumugarajah MD 40 V-Twin Dr Ste 205 Suite 102 Gettysburg, PA 17325-7878 WellSpan Family Medicine - Gettysburg, PA 17325-7878 Phone: 717-339-2790 Aspers Phone: 717-851-6454 Jhansi L Ganji MD 2060 Carlisle Rd Nikhilesh M Korgaonkar MD Sally M Guise LDN Aspers, PA 17304-9707 Ashok K Kuruvilla MD Phone: 717-339-2585 Cardiovascular Disease Peggy B Lovelace LDN Emily G Hahn PAC Nazia S Shamsuddin MD Orville G McBeth MD WellSpan Cardiology 820 Chambersburg Rd. David L Wampler MD GETTYSBURG, PA 17325-3310 450 S Washington St Phone: 717-217-6820 WellSpan Family Medicine - Suite A Carina Signori DO East Berlin Gettysburg, PA 17325-2500 Tiffany L Morton MD 105 4th St Phone: 717-339-3105 PO Box 727 Kweku A Appau MD Family Practice East Berlin, PA 17316-9638 Habib Habib MD Phone: 717-812-4900 Richard A Howard MD Apple Ridge Family Medicine Lauren M Cashman MD Doris C Lawson DNP , CRNP Stephanie J Ellwood DO Jefferson H Lee MD 1311 Biglerville Rd Annie M Harberger DO George N Logothetis MD Gettysburg, PA 17325-8019 Catherine B Heilman MD Momina I Mastoor MD Phone: 717-334-8165 Amanda L Keller-Smith DO Brian T Schuler MD Nora Olson MD Rachel B Markey MD 1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng Page 5 of 52
WellSpan Provider Network Participating Providers Adams Ashlee G Metzger PAC 147 N Washington St Uzoma Nwakuche MD Matthew T Staub PAC Gettysburg, PA 17325 Robert L Rice MD, PhD 2900 Carlisle Pike Phone: 717-337-2684 WellSpan Palliative and New Oxford, PA 17350-8426 Rajesh Bajaj MD Phone: 717-812-4900 Supportive Care Lauren M Cashman MD WellSpan Digestive Health 147 Gettys St Annie M Harberger DO Gettysburg, PA 17325-2534 37 N 5th St Phone: 717-338-4525 Catherine B Heilman MD Gettysburg, PA 17325-2004 Amanda L Keller-Smith DO Robert L Rice MD, PhD Phone: 717-339-3125 Rachel B Markey MD 423 S Washington St Cara M Davis PAC Ashlee G Metzger PAC Gettysburg, PA 17325-2526 Amber L Diaz PAC Matthew T Staub PAC Phone: 717-338-4525 Rajat P Malik MD Robert L Rice MD, PhD WellSpan Family Medicine - David N Speranza MD Fairfield Imaging General Surgery 4910 Fairfield Rd Ste A WellSpan Bariatric Surgery Gettysburg Diagnostic Imaging, Fairfield, PA 17320-9510 PC Phone: 717-339-3175 450 S Washington St 147 Gettys St David S Moore MD 3rd Floor, Ste C Gettysburg, PA 17325-2534 Gettysburg, PA 17325-2500 Phone: 717-339-2015 WellSpan Family Medicine - Phone: 717-741-0733 Herr's Ridge Tanya G Bromery MD James P Ryan MD Wilson S Tan MD 820 Chambersburg Rd Matthew B Smith MD Gettysburg, PA 17325-3310 Imaging & Radiation Oncology Phone: 717-337-4410 WellSpan Surgical Specialists Audrey C Watts CRNP 450 S Washington St WellSpan Radiology and WellSpan Family Medicine - 3rd Flr Ste C Radiation Oncology Gettysburg, PA 17325-2500 Littlestown 40 V Twin Dr Phone: 717-339-3110 Ste 102 300 W King St Tara L Assi PAC Gettysburg, PA 17325-7878 Ste C David A Doud DO Phone: 717-339-2640 Littlestown, PA 17340-1446 Rajesh Makkenchery MD Gregory A Fortier MD Phone: 717-339-2390 Timothy R McKee MD Lesley A Hughes MD Christopher J George MD Roxanna H Nemec PAC Kenneth Lepone MD Whoon J Kil MD Benjamin J Smith MD Robena E Medbery MD Wetzel Family Medicine Gynecological Oncology Reena K Pramanik DO Amit B Shah MD 312 Baltimore St Ori B Shokek MD Gettysburg, PA 17325-2526 WellSpan Gynecologic James A Tegeler MD Phone: 717-334-9535 Oncology Michael R Watson MD Chris T Wetzel MD 450 S Washington St Sherif F Yacoub MD Ste B Female Pelvic Medicine & Gettysburg, PA 17325-2500 Internal Medicine Reconstructive Surgery Phone: 717-337-4487 Okechukwu A Ibeanu MD Family First Health WellSpan Urogynecology & Mark A Miller DO Pelvic Reconstructive Surgery 1275 York Rd Hematology/Oncology Ste 17 450 S Washington St Gettysburg, PA 17325 Suite B Phone: 717-337-9400 Gettysburg, PA 17325-2500 WellSpan Medical Oncology Raymond E Mathews MD Phone: 717-337-4487 and Hematology Carlos A Roberts MD Wellspan Internal Medicine - V 40 V Twin Dr Gastroenterology Suite 104 Twin Dr Gettysburg, PA 17325-7878 Phone: 717-339-2560 Rajesh Bajaj, MD Ikechukwu I Akunyili MD 1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng Page 6 of 52
WellSpan Provider Network Participating Providers Adams 40 V Twin Dr Joseph P Krzeminski MD Arnold G Salotto MD Gettysburg Ophthalmology Suite 204 Gettysburg, PA 17325-7878 Grant C Sorkin MD Associates, P.C. Phone: 717-339-2424 Joel W Winer MD 455 S Washington St Shubha R Acharya MD Ste 24 Neurology Gettysburg, PA 17325-2516 Abroo T Nawaz MD Jason G Rahme MD Phone: 717-334-9159 Saeeda W Shah MD WellSpan Neurology Radhika Patel OD WellSpan Internal Medicine 40 V Twin Dr Orthopaedic Surgery Ste 205 -Washington Street Gettysburg, PA 17325-7878 423 S Washington St WellSpan Orthopedics Phone: 717-339-2790 Gettysburg, PA 17325-2526 Ravi Dukkipati MD 18 Deatrick Dr Phone: 717-339-3165 Albert W Heck MD Gettysburg, PA 17325-6958 David F Kamsler MD Fengjun Jiang MD Phone: 717-339-2500 Kelly P Miller MD Xi Lin MD Lawrence D Bailes PAC Patrick Quinlan DO Anthony C May MD Eric M Flickinger PAC Robert L Sterling MD Robert C Gillis MD WellSpan Medical Weight Winsor C McBeth PAC Management Obstetrics & Gynecology Kyle J Messick MD 450 S Washington St Kimberly A Vogan PAC Suite B1 WellSpan OB/GYN Gettysburg, PA 17325-2500 Otolaryngology Phone: 717-339-2475 450 S Washington St Elizabeth A Wargo LDN Ste B Adams Hanover ENT Gettysburg, PA 17325-2500 Maternal & Fetal Medicine Phone: 717-337-4487 508 S Washington St Theresa Y Acquaah MD Gettysburg, PA 17325-2594 WellSpan Maternal Fetal Christa M Bamburg CNM Phone: 717-334-8171 Medicine Kwadwo B Baryeh MD James A Manning MD Giovanna R Biles CNM Bret T Sobota MD 450 S Washington St Janice M Bollinger CNM Ste D Gettysburg, PA 17325-2500 Emily M Grieve CNM Pain Management Katherine E Johnson CNM Phone: 717-338-3292 (Anesthesiology) Marianne D Jolin CNM Cynthia L Anderson MD Mary O Keperling DO WellSpan Interventional Pain Leonard W Hess MD Charles H Marks DO Lucie V Moravia DO, MPH Specialists Chelsea Marks DO Erik J Smith DO 40 V-Twin Dr Susan E Martin CNM Ste 205 Ann E Orndorff CNM Nephrology Gettysburg, PA 17325-7878 Renee D Pistilli CNM Phone: 717-339-2790 Felicia M Rohrbaugh CNM WellSpan Nephrology Lauren R Smith-Leed MD Segun T Dawodu MD, JD, MBA, LL.M, MS Jessica L Tocks DO 40 V Twin Dr Pediatric Neurology Ste 205 Ophthalmology Gettysburg, PA 17325-7878 WellSpan Neurology Phone: 717-339-2768 Gettysburg Ophthalmology Kayode C Lawrence MD 40 V Twin Dr Associates, P.C. Ste 205 Neurological Surgery 455 S Washington St Gettysburg, PA 17325-7878 Ste 24 Phone: 717-339-2790 WellSpan Neurosurgery Gettysburg, PA 17325-2516 Todd F Barron MD Phone: 717-334-9159 Jeremy S Timothy MD 40 V Twin Dr Tharmalingam Sivendran MD Ste 205 Duane M Whitlock MD Pediatric Ophthalmology Gettysburg, PA 17325-7878 Phone: 717-339-2790 Optometry Christianne Schoedel, MD Troy J Hamilton PAC 1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng Page 7 of 52
WellSpan Provider Network Participating Providers Adams 20 Expedition Trail 23 N Main St 450 S Washington St Ste 110-B PO Box 526 Suite E Gettysburg, PA 17325-2417 Biglerville, PA 17307 Gettysburg, PA 17325-2500 Phone: 717-757-2020 Phone: 717-541-8802 Phone: 717-339-3150 Begona Aristimuno MD Thomas C Beideman DPM William K Daiber DO Christianne Schoedel MD Elizabeth A Hinton DPM Gregory W LaNouette MD Darrell R Hoppes DPM Clyde A Strang MD Pediatrics Richard A Rogers DPM Howard L Schake DPM Vascular Surgery Family First Health Ian M Yarger DPM WellSpan Vascular Surgery 1275 York Rd Pulmonary Disease Ste 17 450 S Washington St Gettysburg, PA 17325 WellSpan Pulmonary and Sleep Suite A Phone: 717-337-9400 Gettysburg, PA 17325-2500 Medicine Nicole M Toth MD Phone: 717-851-6454 40 V Twin Dr Oluwafunmi O Awonuga MD Gettysburg Pediatrics Ste 205 Nancy L Harthun MD Gettysburg, PA 17325-7878 Yaseen A Tomhe MD 11 Hunters Trail Phone: 717-339-2790 Gettysburg, PA 17325-7281 Jeffrey C Lazar MD Phone: 717-334-7681 Lee A Maddox MD Carol A Blank MD Maria A Mayorga MD Bradley R Hoch MD Richard J Murray MD Scott M Jaeger MD George R Robinson MD Mary J Jaromahum-Flaherty MD Cathyrn L Karchner MD Reproductive Endocrinology David K Nelson MD WellSpan Urogynecology & WellSpan Endocrinology Pelvic Reconstructive Surgery 820 Chambersburg Rd. 450 S Washington St GETTYSBURG, PA 17325-3310 Suite B Phone: 717-217-6820 Gettysburg, PA 17325-2500 Kanika Shanker MD Phone: 717-337-4487 Melanie E Ochalski MD Podiatry Rheumatology Atlantic Foot and Ankle Specialist WellSpan Rheumatology 525 W Middle St 40 V Twin Dr Gettysburg, PA 17325-2418 Ste 205 Phone: 717-334-1825 Gettysburg, PA 17325-7878 Cara L Dawes DPM Phone: 717-339-2790 Scott M Henry DPM Mark P Diehl DO Nicole S McCormack DPM Baraka K Senzira DPM Sports Medicine East Berlin Foot and Ankle WellSpan Orthopedics Center, PC 201 Harrisburg St 18 Deatrick Dr East Berlin, PA 17316 Gettysburg, PA 17325-6958 Phone: 717-259-8637 Phone: 717-339-2500 Todd A Zeno DPM Hannah P Leahy DO KPMA, PC, d/b/a Biglerville Urology Foot & Ankle Center WellSpan Urology 1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng Page 8 of 52
WellSpan Provider Network Participating Providers Berkeley Pulmonary Disease Pulmonary Consultants of Hagerstown 115-1 Aikens Center Martinsburg, WV 25401-6210 Phone: 304-267-5450 Imtiaz Khurshid MD Johny P Alencherry MD Kalim Ahmed MD Pajman A Danai MD Shaheen Iqbal MD 1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng Page 9 of 52
WellSpan Provider Network Participating Providers Berks Family Practice Penn State Health Medical Group - Schuylkill Valley 5 S Centre Ave, Ste A3 Leesport, PA 19533-8661 Phone: 610-926-5707 Gregory C Tuke MD Pediatrics Penn State Health Medical Group - All About Children 655 Walnut St West Reading, PA 19611-1242 Phone: 610-372-9222 Abimbola T Ajayi MD Shilu Joshi MD Anna Karasik MD Abdullah Sakarcan MD Desiree M Webb MD Amy L Zisa MD 1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng Page 10 of 52
WellSpan Provider Network Participating Providers Cumberland 97 Progress Boulevard Audiology WellSpan Endocrinology SHIPPENSBURG, PA 17257-9053 354 Alexander Spring Road Phone: 717-217-6800 WellSpan ENT & Hearing Suite 3 Artem Dyatlov MD Services Carlisle, PA 17015-7451 Collin L Myers MD 354 Alexander Spring Road Phone: 717-217-6820 David A Guthrie MD Suite 3 Carina Signori DO David S Bryant MD CARLISLE, PA 17015-7451 Tiffany L Morton MD Megan M Tasker DO Phone: 717-217-6870 Nadeem A Quazi MD Hoo Y Leung AuD Family Practice Kristin N Jones AuD Gynecology WellSpan Family Medicine Behavioral Health WellSpan OB/GYN 46 Walnut Bottom Road Suite 200 97 Progress Boulevard WellSpan Counseling Services Shippensburg, PA 17257-8219 SHIPPENSBURG, PA 17257-9053 46 Walnut Bottom Road Phone: 717-532-4148 Phone: 717-217-6882 SHIPPENSBURG, PA 17257-8219 Adelina L Palade MD Laurice A Heine MD Phone: 717-267-4839 Diana J Lyon-Loftus MD Satyajit Mukherjee MD Ernest E Charlesworth MD Hematology/Oncology Karen F Bryson MD Cardiovascular Disease Kashif A Sandhu MD Penn State Health Medical Laurel P Bailey MD Group - Andrews Patel WellSpan Cardiology Leo Kratz DO Hematology Oncology Robert B George MD 3912 Trindle Rd 97 Progress Boulevard Stephen B Flack MD Camp Hill, PA 17011-4246 SHIPPENSBURG, PA 17257-9053 Timothy T Owolabi MD Phone: 717-761-8740 Phone: 717-217-6944 Todd V Peterson MD Jihua Cheng MD Anthony G Johnson MD William A Kramer MD Margarita R Gareis MD Arshad M Safi MD WellSpan Urgent Care Yang Liu MD Aylmer C Tang MD Mona Patel PAC Betsie Figueroa-Cruz MD 46 Walnut Bottom Road Kathryn Peroutka MD Bishnu Subedi MD Suite 100 Kumudini N Rao MD Hari Gnanasekeram MD Shippensburg, PA 17257-8219 Saritha Ravella MD Madan K Badal MD Phone: 717-477-2764 Lily H Shah MD Mallory L McClure MD Brooke E Sheffler MD Joshua L Shipley MD Rajesh S Chintala MD Carlos R Sandoval-Martinez MD Mary A Simmonds MD Shaiful Islam MD Frank E Mozdy MD Rajesh Surapaneni MD Diabetes Treatment & Jacqueline M Fignar DO James A Uslin DO Internal Medicine Education Joseph T McDermott DO WellSpan Endocrinology Rebecca L Pound MD Cumberland Valley Nephrology Tate M Kauffman MD 354 Alexander Spring Road Teresa M Joy DO 64 S W St Suite 3 Thomas A Steinour MD Carlisle, PA 17013-2838 Carlisle, PA 17015-7451 Phone: 717-245-2291 Phone: 717-217-6820 General Surgery Kavitha Ramaswamy MD Barbara E Van Meerbeke LDN Shalanki Baiswar MD Jennifer M Ruby LDN WellSpan Surgical Specialists WellSpan Family Medicine WellSpan Surgical Specialists 46 Walnut Bottom Road 46 Walnut Bottom Road Suite 200 97 Progress Boulevard Suite 200 Shippensburg, PA 17257-8219 SHIPPENSBURG, PA 17257-9053 Shippensburg, PA 17257-8219 Phone: 717-217-6800 Phone: 717-217-6800 Phone: 717-532-4148 Artem Dyatlov MD Brittany N Baird RD Ryan M DeCort DO Collin L Myers MD David A Guthrie MD WellSpan Pulmonary & Sleep Endocrinology David S Bryant MD Medicine Megan M Tasker DO 1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng Page 11 of 52
WellSpan Provider Network Participating Providers Cumberland 354 Alexander Spring Road Richard S Richards MD 97 Progress Boulevard Suite 3 Robert P Lyons MD SHIPPENSBURG, PA 17257-9053 Carlisle, PA 17015-7451 Roger Robertson MD Phone: 717-264-1600 Phone: 717-264-1600 Shaunette Davey DO Peter M Jablin MD Antony Lixon MD Theodore J Steelman MD Santhosh Gheevarghese John MD Pratima P Behari MD Thomas A Little MD Saroj P Kandel MD William M Gunnett DO Tarkeshwar Tiwary MD 97 Progress Boulevard SHIPPENSBURG, PA 17257-9053 Otolaryngology Urology Phone: 717-264-1600 Antony Lixon MD WellSpan ENT & Hearing WellSpan Urology Pratima P Behari MD Services Ob/Gyn & CNM 354 Alexander Spring Road 354 Alexander Spring Road Suite 3 Suite 3 CARLISLE, PA 17015-7451 Carlisle, PA 17015-7451 WellSpan OB/GYN Phone: 717-217-6803 Phone: 717-217-6870 97 Progress Boulevard Anna Grigoryeva MD Ashish Behari MD SHIPPENSBURG, PA 17257-9053 H. Carter Davidson MD PhD Christopher Robison DO Phone: 717-217-6882 Joshua L Dunklebarger MD Louis L Glass MD Selena Neiderer CNM Mohan Verghese MD Pediatrics Virgilio A Centenera MD Obstetrics & Gynecology WellSpan Endocrinology WellSpan OB/GYN 354 Alexander Spring Road 97 Progress Boulevard Suite 3 SHIPPENSBURG, PA 17257-9053 Carlisle, PA 17015-7451 Phone: 717-217-6882 Phone: 717-217-6820 Angelique L Ridore MD Kanika Shanker MD Christine A Molloy MD Constance I Glass MD Podiatry Mawuli J Brosius MD Sulang Rosado MD KPMA, PC, d/b/a West Shore Waymee L Conner MD Foot & Ankle Center Orthopaedic Surgery 5001 Louise Dr Ste 104 Mechanicsburg, PA 17055 WellSpan Orthopedics Phone: 717-458-5611 46 Walnut Bottom Road Thomas C Beideman DPM Suite 200A Elizabeth A Hinton DPM Shippensburg, PA 17257-8219 Darrell R Hoppes DPM Phone: 717-263-1220 Richard A Rogers DPM Brad J Conner DO Howard L Schake DPM Michael S Day MD Ian M Yarger DPM Nikola M Dobrasevic MD Pulmonary Disease Richard S Richards MD Robert P Lyons MD Roger Robertson MD WellSpan Pulmonary & Sleep Shaunette Davey DO Medicine Theodore J Steelman MD 354 Alexander Spring Road Thomas A Little MD Suite 3 William M Gunnett DO Carlisle, PA 17015-7451 97 Progress Boulevard Phone: 717-264-1600 SHIPPENSBURG, PA 17257-9053 Peter M Jablin MD Phone: 717-263-1220 Santhosh Gheevarghese John MD Brad J Conner DO Saroj P Kandel MD Michael S Day MD Tarkeshwar Tiwary MD Nikola M Dobrasevic MD 1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng Page 12 of 52
WellSpan Provider Network Participating Providers Dauphin Rhondey I Harford MD Family Practice Joachim J Huerter MD Lebanon Internal Medicine Mark R Labuski MD Associates, PC Penn State Medical Group - Maria T Pettinger MD 34 Northeast Dr Ste 1A Cocoa Todd R Sanders MD Hershey, PA 17033 Paul L Stagg MD Phone: 717-273-6706 1120 Cocoa Ave Scott W Wise MD Ernesto Gutierrez MD Hershey, PA 17033-1712 Phone: 717-533-4141 David C Trostle MD Internal Medicine Frank J Battista MD Melanie R Fleischmann MD Lebanon Internal Medicine Dean J Leis MD Elizabeth A Meck MD Associates, PC Katelynn M Sheaffer DO 34 Northeast Dr Ste 1A David T Thoryk MD Hershey, PA 17033 Phone: 717-273-6706 Gastroenterology Edwin M Kase MD Penn State Health Medical Outpatient Therapy Services Group - Lancaster Specialties 1120 Cocoa Ave Central PA Rehabilitation Hershey, PA 17033-1712 Services Phone: 717-715-1001 100 S First St, Ste B Alison Platt DO Millersburg, PA 17061-1501 Phone: 717-692-4708 Hematology/Oncology Caitlin A Gardner MPT Emily M McKeon 12.2.19 change from DPT to MPT for has master degr Penn State Health Medical 2850 Commerce Dr Ste 200B Group - Andrews Patel Harrisburg, PA 17110-9383 Hematology Oncology Phone: 717-727-1337 4518 Union Deposit Rd Michele R Kelley MPT Ste 201 Podiatry Harrisburg, PA 17111 Phone: 717-526-1030 Jihua Cheng MD KPMA, PC, d/b/a Londonderry Margarita R Gareis MD Foot & Ankle Center Yang Liu MD 845 Sir Thomas Court Suite 2 Mona Patel PAC Harrisburg, PA 17109 Kathryn Peroutka MD Phone: 717-652-5811 Kumudini N Rao MD Thomas C Beideman DPM Saritha Ravella MD Elizabeth A Hinton DPM Lily H Shah MD Darrell R Hoppes DPM Joshua L Shipley MD Richard A Rogers DPM Mary A Simmonds MD Howard L Schake DPM Rajesh Surapaneni MD Ian M Yarger DPM Imaging KPMA, PC, d/b/a Paxtonia Foot & Ankle Penn State Health Medical 6100 Old Jonestown Rd Group - Radiology Harrisburg, PA 17112-2632 4520 Union Deposit Rd Phone: 717-541-0988 Harrisburg, PA 17112 Elizabeth A Hinton DPM Phone: 717-909-4139 Darrell R Hoppes DPM Brian S Bentley DO Richard A Rogers DPM Brian P Bloom MD Howard L Schake DPM Stacy J Castaldi DO Shervin C Dean MD Rheumatology Dennis M Duryea DO 1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng Page 13 of 52
WellSpan Provider Network Participating Providers Franklin Narendra M Pai MD Satyajit Mukherjee MD Anesthesiology Norman F Bradford MD Peter D Resnick MD WellSpan Counseling Services WellSpan Anesthesiology Rajkumar Mongia MD 12 St. Paul Drive Roger T Weiss DO 112 N 7th St Suite 101 Sandra M Cifor DO Chambersburg, PA 17201-1720 Chambersburg, PA 17201-1035 Shauna W Bomer MD Phone: 717-267-7164 Phone: 717-267-4839 Shazia Choudry MD Andrew J Boryan MD Satyajit Mukherjee MD Timothy J Sempowski DO Bradley W Heffner MD Todd A Price MD 24 Antrim Commons Drive Brian D Bentzen MD GREENCASTLE, PA 17225-1623 Ewa M Malinowski MD Audiology Phone: 717-267-4839 J. Alex Leckie MD Satyajit Mukherjee MD Mary F Nevin MD WellSpan ENT & Hearing 3106 Philadelphia Avenue Meagan Horst MD Services CHAMBERSBURG, PA 17201-8938 Michael K Idun MD Phone: 717-267-4839 22 St Paul Drive Narendra M Pai MD Satyajit Mukherjee MD Suite 202 Norman F Bradford MD Chambersburg, PA 17201-1036 Peter D Resnick MD Phone: 717-217-6870 Cardiovascular Disease Rajkumar Mongia MD Roger T Weiss DO Christine K Lindeman AuD Hoo Y Leung AuD WellSpan Cardiology Sandra M Cifor DO Shauna W Bomer MD Kristin N Jones AuD 12 St Paul Dr Shazia Choudry MD 24 Antrim Commons Drive Suite 204 Timothy J Sempowski DO GREENCASTLE, PA 17225-1623 Chambersburg, PA 17201 Todd A Price MD Phone: 717-217-6870 Phone: 717-217-6886 12 St Paul Drive Christine K Lindeman AuD Anthony G Johnson MD Suite 100 Hoo Y Leung AuD Arshad M Safi MD Chambersburg, PA 17201-1035 Kristin N Jones AuD Aylmer C Tang MD Phone: 717-217-6072 601 East Main Street Daniel J Kosinski MD Andrew J Boryan MD Waynesboro, PA 17268-2332 Francis P Day MD Bradley W Heffner MD Phone: 717-217-6870 22 St Paul Drive Brian D Bentzen MD Christine K Lindeman AuD Suite 201 Ewa M Malinowski MD Hoo Y Leung AuD Chambersburg, PA 17201-1036 J. Alex Leckie MD Kristin N Jones AuD Phone: 717-217-6944 Mary F Nevin MD Anthony G Johnson MD Meagan Horst MD Behavioral Health Arshad M Safi MD Michael K Idun MD Aylmer C Tang MD Narendra M Pai MD WellSpan Behavioral Health Betsie Figueroa-Cruz MD Norman F Bradford MD Bishnu Subedi MD Peter D Resnick MD 176 South Coldbrook Avenue Hari Gnanasekeram MD Rajkumar Mongia MD Chambersburg, PA 17201-2714 Madan K Badal MD Roger T Weiss DO Phone: 717-267-7480 Mallory L McClure MD Sandra M Cifor DO Indranil Chakrabarti MD Rajesh S Chintala MD Shauna W Bomer MD Nathan J Lee MD Shaiful Islam MD Shazia Choudry MD Satyajit Mukherjee MD 601 East Main Street Timothy J Sempowski DO 24 Antrim Commons Drive Waynesboro, PA 17268-2332 Todd A Price MD GREENCASTLE, PA 17225-1623 Phone: 717-765-5060 501 East Main Street Phone: 717-267-7480 Anthony G Johnson MD WAYNESBORO, PA 17268-2353 Indranil Chakrabarti MD Arshad M Safi MD Phone: 717-765-3425 Nathan J Lee MD Aylmer C Tang MD Andrew J Boryan MD Satyajit Mukherjee MD Betsie Figueroa-Cruz MD Bradley W Heffner MD Chambersburg Hospital 112 North 7th Bishnu Subedi MD Brian D Bentzen MD Street Hari Gnanasekeram MD Ewa M Malinowski MD Behavioral Health Unit Third Floor Madan K Badal MD J. Alex Leckie MD Chambersburg, PA 17201-1720 Mallory L McClure MD Mary F Nevin MD Phone: 717-267-7771 Rajesh S Chintala MD Meagan Horst MD Indranil Chakrabarti MD Shaiful Islam MD Michael K Idun MD Nathan J Lee MD 1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng Page 14 of 52
WellSpan Provider Network Participating Providers Franklin 24 Antrim Commons Drive 12 St. Paul Drive Diabetes Treatment & GREENCASTLE, PA 17225-1623 Suite 203 Education Phone: 717-217-6820 CHAMBERSBURG, PA 17201-1035 Carina Signori DO Phone: 717-264-6511 WellSpan Endocrinology Tiffany L Morton MD Diana J Lyon-Loftus MD 601 East Main Street Ernest E Charlesworth MD 12 St Paul Dr Suite 210 Waynesboro, PA 17268-2332 Kashif A Sandhu MD Chambersburg, PA 17201 Phone: 717-217-6820 Robert B George MD Phone: 717-217-6820 Carina Signori DO Stephen B Flack MD Tiffany L Morton MD Teresa M Joy DO Barbara E Van Meerbeke LDN Timothy T Owolabi MD Jennifer M Ruby LDN Melissa T Benzon LDN Family Practice Todd V Peterson MD William A Kramer MD 24 Antrim Commons Drive GREENCASTLE, PA 17225-1623 Mark A. Swartz, M.D., Family 2 Keefer Drive Mercersburg, PA 17236-1732 Phone: 717-217-6820 Practice Phone: 717-328-2119 Barbara E Van Meerbeke LDN 761 Park 5th Ave, Ste D Diana J Lyon-Loftus MD Jennifer M Ruby LDN Chambersburg, PA 17201-4210 Ernest E Charlesworth MD Melissa T Benzon LDN Phone: 717-261-1269 Joseph T McDermott DO 601 East Main Street Mark A Swartz MD Kashif A Sandhu MD Waynesboro, PA 17268-2332 Leo Kratz DO Phone: 717-217-6820 Summit Walk-In Care Robert B George MD Barbara E Van Meerbeke LDN 50 Eastern Avenue Stephen B Flack MD Jennifer M Ruby LDN Suite 144 Timothy T Owolabi MD Melissa T Benzon LDN Greencastle, PA 17225-1100 Todd V Peterson MD Phone: 717-597-5553 Vincent J Barnhart MD WellSpan Surgical Specialists Frank E Mozdy MD Wendy Day MSN, RN, CRNP, 120 North 7th Street William A Kramer MD 601 East Main Street Suite 200 Waynesboro, PA 17268-2332 24 Antrim Commons Drive Chambersburg, PA 17201-1795 Phone: 717-765-5088 GREENCASTLE, PA 17225-1623 Phone: 717-217-6800 Frank E Mozdy MD Phone: 717-597-5553 Brittany N Baird RD Diana J Lyon-Loftus MD 601 East Main Street WellSpan Convenient Care Jane G Leotaud-Moreno MD WAYNESBORO, PA 17268-2332 Joseph T McDermott DO 1015 Philadelphia Avenue Karen F Bryson MD Phone: 717-217-6800 CHAMBERSBURG, PA 17201-1279 Kashif A Sandhu MD Brittany N Baird RD Phone: 717-264-3278 Leo Kratz DO WellSpan Weight Management Carlos R Sandoval-Martinez MD Robert B George MD Waynesboro High School Stephen B Flack MD 1624 Orchard Drive 550 E 2nd Street Timothy T Owolabi MD Chambersburg, PA 17201-9206 WAYNESBORO, PA 17268-2390 Todd V Peterson MD Phone: 717-267-6427 Phone: 717-264-3278 William A Kramer MD Brittany N Baird RD Carlos R Sandoval-Martinez MD 3106 Philadelphia Avenue 601 East Main Street Chambersburg, PA 17201-8938 Waynesboro, PA 17268-2332 WellSpan Family Medicine Phone: 717-264-3644 Phone: 717-267-2427 Diana J Lyon-Loftus MD 12 St Paul Drive Brittany N Baird RD Suite 101 Ernest E Charlesworth MD Chambersburg, PA 17201-1035 Joseph T McDermott DO Endocrinology Kashif A Sandhu MD Phone: 717-217-6760 Ashley B Martin DO Leo Kratz DO WellSpan Endocrinology H. Wallace Brubaker MD Robert B George MD Karla D Lowman MD Stephen B Flack MD 12 St Paul Dr Timothy T Owolabi MD Kashif A Sandhu MD Suite 210 Todd V Peterson MD Robert B George MD Chambersburg, PA 17201 William A Kramer MD Stephen B Flack MD Phone: 717-217-6820 Timothy T Owolabi MD Carina Signori DO Todd V Peterson MD Tiffany L Morton MD 1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng Page 15 of 52
WellSpan Provider Network Participating Providers Franklin 50 Eastern Avenue Mahrouf Yusif MD 112 North 7th Street Suite 144 Navik S Sodhi MD Chambersburg, PA 17201-1720 Greencastle, PA 17225-1100 R. Lucas Shelly DO Phone: 717-262-4546 Phone: 717-597-5553 Richard E Bruner DO Anna R Kent DO Karen F Bryson MD 501 East Main Street Iwona J Janicka MD 601 East Main Street WAYNESBORO, PA 17268-2353 601 East Main Street Waynesboro, PA 17268-2332 Phone: 717-765-4000 WAYNESBORO, PA 17268 Phone: 717-765-5085 Ansuddin S Hasan MD Phone: 717-262-4546 Diana J Lyon-Loftus MD David A Hoffmann DO Anna R Kent DO Jacqueline M Fignar DO Frank E Mozdy MD Iwona J Janicka MD Jane G Leotaud-Moreno MD Hardik G Jani MD Joseph T McDermott DO Hassan Albassam MD WellSpan Urgent Care Kashif A Sandhu MD Iwona J Janicka MD Kevin T Scheppke MD 1000 Norland Avenue Leo Kratz DO Laszlo I Madaras MD Chambersburg, PA 17201-4229 Muhammad M Jawaid MD Mahrouf Yusif MD Phone: 717-267-6363 Robert B George MD Navik S Sodhi MD Brooke E Sheffler MD Stephen B Flack MD R. Lucas Shelly DO Carlos R Sandoval-Martinez MD Timothy T Owolabi MD Richard E Bruner DO Frank E Mozdy MD Todd V Peterson MD Jacqueline M Fignar DO William A Kramer MD WellSpan Internal Medicine James A Uslin DO 6155 Anthony Highway Joseph T McDermott DO Waynesboro, PA 17268-9718 1425 Philadelphia Avenue Rebecca L Pound MD Phone: 717-749-3181 The Manor Teresa M Joy DO Diana J Lyon-Loftus MD Chambersburg, PA 17201-1386 Thomas A Steinour MD Ernest E Charlesworth MD Phone: 717-217-6055 24 Antrim Commons Drive Jonah D Burke DO Kashif A Sandhu MD GREENCASTLE, PA 17225-1623 Kashif A Sandhu MD Robert B George MD Phone: 717-597-5553 Leo Kratz DO Stephen B Flack MD Timothy T Owolabi MD Brooke E Sheffler MD Robert B George MD Todd V Peterson MD Carlos R Sandoval-Martinez MD Stephen B Flack MD Jacqueline M Fignar DO Timothy T Owolabi MD 2055 Scotland Avenue James A Uslin DO Todd V Peterson MD CHAMBERSBURG, PA 17201-1451 Jane G Leotaud-Moreno MD William A Kramer MD Phone: 717-217-6055 Joseph T McDermott DO Kashif A Sandhu MD Muhammad M Jawaid MD WellSpan FastCare Robert B George MD Rebecca L Pound MD Giant Stephen B Flack MD Tate M Kauffman MD 993 Wayne Avenue Timothy T Owolabi MD Teresa M Joy DO Chambersburg, PA 17201-3895 Todd V Peterson MD Thomas A Steinour MD Phone: 717-264-3278 2075 Scotland Avenue 601 East Main Street Carlos R Sandoval-Martinez MD Chambersburg, PA 17201-1451 WAYNESBORO, PA 17268-2332 Frank E Mozdy MD Phone: 717-217-6055 Phone: 717-765-5088 Jacqueline M Fignar DO Kashif A Sandhu MD Brooke E Sheffler MD James A Uslin DO Robert B George MD Carlos R Sandoval-Martinez MD Tate M Kauffman MD Stephen B Flack MD Jacqueline M Fignar DO Teresa M Joy DO Timothy T Owolabi MD James A Uslin DO Todd V Peterson MD Jane G Leotaud-Moreno MD WellSpan Hospitalists 601 East Main Street Joseph T McDermott DO 112 North 7th Street Level 3 Muhammad M Jawaid MD Chambersburg, PA 17201-1720 Waynesboro, PA 17268-2332 Rebecca L Pound MD Phone: 717-217-4300 Phone: 717-765-5087 Tate M Kauffman MD Ansuddin S Hasan MD Jane G Leotaud-Moreno MD Teresa M Joy DO David A Hoffmann DO Kashif A Sandhu MD Thomas A Steinour MD Frank E Mozdy MD Robert B George MD Hardik G Jani MD Todd V Peterson MD Gastroenterology Hassan Albassam MD WellSpan Palliative Care WellSpan Digestive Health Iwona J Janicka MD Kevin T Scheppke MD Laszlo I Madaras MD 1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng Page 16 of 52
WellSpan Provider Network Participating Providers Franklin 24 Antrim Commons Drive David S Bryant MD 260 North 7th Street GREENCASTLE, PA 17225-1623 Megan M Tasker DO Chambersburg, PA 17201-1722 Phone: 717-765-3648 Nadeem A Quazi MD Phone: 717-262-4660 Fawaz Z Hakki MD 601 East Main Street Ato O Wright MD WAYNESBORO, PA 17268-2332 Lesley A Hughes MD 501 East Main Street Phone: 717-217-6800 Max S Laguerre MD Waynesboro, PA 17268-2353 Phone: 717-765-3648 Artem Dyatlov MD Whoon Jong Kil MD Fawaz Z Hakki MD Collin L Myers MD David A Guthrie MD Internal Medicine General Surgery David S Bryant MD Megan M Tasker DO Cumberland Valley Nephrology Nadeem A Quazi MD WellSpan Breast Care 765 5th Ave, Ste A 22 St Paul Drive WellSpan Weight Management Chambersburg, PA 17201-4228 Phone: 717-263-8811 Suite 100 1624 Orchard Drive CHAMBERSBURG, PA 17201-1035 Kavitha Ramaswamy MD Chambersburg, PA 17201-9206 Phone: 717-217-6020 Shalanki Baiswar MD Phone: 717-267-6427 Catherine Plzak MD Nadeem A Quazi MD WellSpan Family Medicine David A Guthrie MD Paul L Klink MD Kareen C Ayre MD 12 St Paul Drive 601 East Main Street 601 East Main Street Suite 101 Waynesboro, PA 17268-2332 Waynesboro, PA 17268-2332 Chambersburg, PA 17201-1035 Phone: 717-267-2427 Phone: 717-765-5060 Phone: 717-217-6760 Nadeem A Quazi MD Catherine Plzak MD Carrie L Sun MD Paul L Klink MD David A Guthrie MD Ryan M DeCort DO Kareen C Ayre MD Gynecology 12 St. Paul Drive Suite 203 WellSpan Digestive Health CHAMBERSBURG, PA 17201-1035 WellSpan OB/GYN Phone: 717-264-6511 24 Antrim Commons Drive GREENCASTLE, PA 17225-1623 12 St Paul Drive Ryan M DeCort DO Phone: 717-765-3648 Suite 207 2 Keefer Drive Chambersburg, PA 17201-1035 Mercersburg, PA 17236-1732 Megan M Tasker DO Phone: 717-217-6882 Phone: 717-328-2119 Nadeem A Quazi MD Laurice A Heine MD Ryan M DeCort DO 501 East Main Street Waynesboro, PA 17268-2353 120 North Seventh Street 24 Antrim Commons Drive Phone: 717-765-3648 Suite 206 GREENCASTLE, PA 17225-1623 CHAMBERSBURG, PA 17201-1795 Phone: 717-597-5553 Megan M Tasker DO Phone: 717-217-6882 Nadeem A Quazi MD Ryan M DeCort DO Laurice A Heine MD 3106 Philadelphia Avenue WellSpan Surgical Specialists 24 Antrim Commons Drive Chambersburg, PA 17201-8938 GREENCASTLE, PA 17225-1623 Phone: 717-264-3644 120 North 7th Street Phone: 717-597-5553 Suite 200 Ryan M DeCort DO Laurice A Heine MD Chambersburg, PA 17201-1795 601 East Main Street Phone: 717-217-6800 50 Eastern Avenue Waynesboro, PA 17268-2332 Artem Dyatlov MD GREENCASTLE, PA 17225-1100 Phone: 717-765-5085 Collin L Myers MD Phone: 717-597-5553 Ryan M DeCort DO David A Guthrie MD Laurice A Heine MD 6155 Anthony Highway David S Bryant MD 601 E Main St Waynesboro, PA 17268-9718 Megan M Tasker DO Waynesboro, PA 17268-2332 Phone: 717-749-3181 Nadeem A Quazi MD Phone: 717-765-5086 Ryan M DeCort DO 24 Antrim Commons Drive Laurice A Heine MD Floor 2 WellSpan Hospitalists GREENCASTLE, PA 17225-1623 Imaging & Radiation Oncology Phone: 717-217-6800 112 North 7th Street WellSpan Radiation Oncology Chambersburg, PA 17201-1720 Artem Dyatlov MD Phone: 717-217-4300 Collin L Myers MD David A Guthrie MD Basant K Mittal MD 1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng Page 17 of 52
WellSpan Provider Network Participating Providers Franklin Benjamin L Schellhase DO Sanjay Dhar MD 601 East Main Street Charles Berko MD Shalanki Baiswar MD Waynesboro, PA 17268-2332 Dany D Morel MD Sudheer Sanikommu MD Phone: 717-264-1600 Frank G Kusi MD Surekha V Kotapothula MD Antony Lixon MD Furhan Qureshi MD Swetha Areti MD Pratima P Behari MD Gautam Wadhwa MD Geraldine Policard MD WellSpan Internal Medicine 601 Norland Avenue Suite 100 Glenn Bruce G Vanderver MD 1425 Philadelphia Avenue Chambersburg, PA 17201-4235 Gokhan Gormus MD The Manor Phone: 717-264-1600 Golam Mostofa MD Chambersburg, PA 17201-1386 Antony Lixon MD Heewa M Faraj MD Phone: 717-217-6055 Pratima P Behari MD Karina A Henriquez MD Basant K Mittal MD Karine Karapetyan MD Geraldine Policard MD Maternal & Fetal Medicine Kavitha Ramaswamy MD Lisa K Higginbotham MD Kemsha Z Huslin MD Ketan V Shah MD Ryan M DeCort DO WellSpan Maternal Fetal Meril George MD 2055 Scotland Avenue Medicine Minh-Thu T Duong DO CHAMBERSBURG, PA 17201-1451 22 St Paul Dr Obasi Chukwunenye MD Phone: 717-217-6055 Ste 101 Pshtiwan A Tahir MD Basant K Mittal MD Chambersburg, PA 17201-1033 Rashid Anjum MD Geraldine Policard MD Phone: 877-722-1757 Robert F Goldman MD Lisa K Higginbotham MD Cynthia L Anderson MD Robert J Ternes MD Ryan M DeCort DO Robert B Gherman MD Ryan M DeCort DO 2075 Scotland Avenue Leonard W Hess MD Salman Lateef MD Chambersburg, PA 17201-1451 Lucie V Moravia DO, MPH Sanjay Dhar MD Phone: 717-217-6055 Erik J Smith DO Shalanki Baiswar MD Basant K Mittal MD Sudheer Sanikommu MD Geraldine Policard MD Neonatal - Perinatal Medicine Surekha V Kotapothula MD Lisa K Higginbotham MD Swetha Areti MD Ryan M DeCort DO WellSpan Neonatology 501 East Main Street 601 East Main Street WAYNESBORO, PA 17268-2353 112 N 7th St Level 3 Phone: 717-765-4000 Chambersburg, PA 17201-1720 Waynesboro, PA 17268-2332 Basant K Mittal MD Phone: 717-851-2613 Phone: 717-765-5087 Benjamin L Schellhase DO Elias W Abebe MD Lisa K Higginbotham MD Charles Berko MD Michael H Goodstein MD Pamela F Bradford MD Dany D Morel MD Puneet Jairath MD Ryan M DeCort DO Frank G Kusi MD Misty C McCaig MD Shanta Pandey MD Furhan Qureshi MD Chinazo O Meniru MD Tehmina Haq MD Gautam Wadhwa MD Sheela Moorthy MD Geraldine Policard MD WellSpan Palliative Care 501 E Main St Glenn Bruce G Vanderver MD Waynesboro, PA 17268-2353 Gokhan Gormus MD 112 North 7th Street Phone: 717-851-2613 Golam Mostofa MD Chambersburg, PA 17201-1720 Elias W Abebe MD Heewa M Faraj MD Phone: 717-262-4546 Michael H Goodstein MD Karina A Henriquez MD Chitra A Mohan MD Puneet Jairath MD Karine Karapetyan MD Louis E Coda MD Misty C McCaig MD Kavitha Ramaswamy MD Ryan M DeCort DO Chinazo O Meniru MD Kemsha Z Huslin MD 601 East Main Street Sheela Moorthy MD Ketan V Shah MD WAYNESBORO, PA 17268 Meril George MD Phone: 717-262-4546 Neurology Minh-Thu T Duong DO Chitra A Mohan MD Obasi Chukwunenye MD Louis E Coda MD Cumberland Valley Pshtiwan A Tahir MD Ryan M DeCort DO Neurosurgical Consultants Rashid Anjum MD Robert F Goldman MD WellSpan Pulmonary & Sleep 764 Lincoln Way E Chambersburg, PA 17201-2710 Robert J Ternes MD Medicine Ryan M DeCort DO Phone: 717-263-3850 Salman Lateef MD Stanton E Sollenberger DO 1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng Page 18 of 52
WellSpan Provider Network Participating Providers Franklin Mawuli J Brosius MD WellSpan Neurology WellSpan OB/GYN Ronald Pluszczynski MD Sulang Rosado MD 112 North 7th Street 12 St Paul Drive Tasneem S Ahmed MD Chambersburg, PA 17201-1720 Suite 207 Waymee L Conner MD Phone: 717-217-4300 Chambersburg, PA 17201-1035 Khatuna Gurgenashvili MD Phone: 717-217-6882 Oncology Stanton E Sollenberger DO Angelique L Ridore MD 22 St Paul Dr Christine A Molloy MD WellSpan Medical Oncology & Ste 101 Constance I Glass MD Mawuli J Brosius MD Hematology Chambersburg, PA 17201-1033 Phone: 717-262-2665 Sulang Rosado MD 22 St Paul Drive Waymee L Conner MD Suite 100 William B Bossert MD Chambersburg, PA 17201-1036 Sana Q Siddiqi MD 120 North Seventh Street Phone: 717-217-6020 Suite 206 501 East Main Street CHAMBERSBURG, PA 17201-1795 John F Robinson MD Waynesboro, PA 17268-2353 Phone: 717-217-6882 Kevin J Lorentsen MD Phone: 717-765-4000 Angelique L Ridore MD Mahinur H Khan MD Khatuna Gurgenashvili MD Michael R Cashdollar MD Stanton E Sollenberger DO Christine A Molloy MD Constance I Glass MD Sri Lakshmi Hyndavi Yeruva MD Ob/Gyn & CNM Mawuli J Brosius MD 601 East Main Street Sulang Rosado MD Waynesboro, PA 17268-2332 Waymee L Conner MD Phone: 717-765-5025 WellSpan OB/GYN 24 Antrim Commons Drive John F Robinson MD 12 St Paul Drive GREENCASTLE, PA 17225-1623 Kevin J Lorentsen MD Suite 207 Phone: 717-597-5553 Mahinur H Khan MD Chambersburg, PA 17201-1035 Allan O Anyumba DO Michael R Cashdollar MD Phone: 717-217-6882 Angelique L Ridore MD Sri Lakshmi Hyndavi Yeruva MD Selena Neiderer CNM Christine A Molloy MD Orthopaedic Surgery 120 North Seventh Street Constance I Glass MD Suite 206 Erik C Smith MD CHAMBERSBURG, PA 17201-1795 M D Leonard DO WellSpan Orthopedics Phone: 717-217-6882 Mawuli J Brosius MD 120 North 7th Street Selena Neiderer CNM Ronald Pluszczynski MD Suite 101 Sulang Rosado MD 24 Antrim Commons Drive Chambersburg, PA 17201-1795 Tasneem S Ahmed MD GREENCASTLE, PA 17225-1623 Phone: 717-263-1220 Waymee L Conner MD Phone: 717-597-5553 Brad J Conner DO Jacqueline Y Sullivan CNM 50 Eastern Avenue Michael S Day MD Julie A Szymanski CNM GREENCASTLE, PA 17225-1100 Nikola M Dobrasevic MD Kimberly Amsley-Camp CNM Phone: 717-597-5553 Richard S Richards MD Nylene Brittain CNM Allan O Anyumba DO Robert P Lyons MD Selena Neiderer CNM Angelique L Ridore MD Roger Robertson MD Christine A Molloy MD Shaunette Davey DO 50 Eastern Avenue Constance I Glass MD Theodore J Steelman MD GREENCASTLE, PA 17225-1100 Erik C Smith MD Thomas A Little MD Phone: 717-597-5553 Mawuli J Brosius MD William M Gunnett DO Jacqueline Y Sullivan CNM Ronald Pluszczynski MD Julie A Szymanski CNM 24 Antrim Commons Drive Sulang Rosado MD Nylene Brittain CNM GREENCASTLE, PA 17225-1623 Tasneem S Ahmed MD Phone: 717-263-1220 601 E Main St Waymee L Conner MD Waynesboro, PA 17268-2332 Brad J Conner DO 601 E Main St Michael S Day MD Phone: 717-765-5086 Waynesboro, PA 17268-2332 Nikola M Dobrasevic MD Jacqueline Y Sullivan CNM Phone: 717-765-5086 Richard S Richards MD Julie A Szymanski CNM Allan O Anyumba DO Robert P Lyons MD Kimberly Amsley-Camp CNM Angelique L Ridore MD Roger Robertson MD Nylene Brittain CNM Christine A Molloy MD Shaunette Davey DO Selena Neiderer CNM Constance I Glass MD Theodore J Steelman MD Erik C Smith MD Obstetrics & Gynecology Thomas A Little MD M D Leonard DO William M Gunnett DO 1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng Page 19 of 52
WellSpan Provider Network Participating Providers Franklin 601 East Main Street 1920 Scotland Avenue WellSpan Physiatry Waynesboro, PA 17268-2332 Chambersburg, PA 17201-1450 Phone: 717-765-5060 12 St Paul Drive Phone: 717-264-5211 Brad J Conner DO Suite 208 John M Sekel DPM Michael S Day MD Chambersburg, PA 17201-1035 Katherine E Cashdollar DPM Nikola M Dobrasevic MD Phone: 717-217-6072 Lisa A Price DPM Richard S Richards MD Michal Glinianski MD Michael R Cashdollar DPM Robert P Lyons MD Michael S Husar DPM Roger Robertson MD Pediatrics Nicholas A Amalfetano DPM Shaunette Davey DO Peter J Holdaway DPM Theodore J Steelman MD WellSpan Endocrinology 24 Antrim Commons Drive Thomas A Little MD GREENCASTLE, PA 17225-1623 William M Gunnett DO 12 St Paul Dr Phone: 717-264-5211 Suite 210 John M Sekel DPM Otolaryngology Chambersburg, PA 17201 Katherine E Cashdollar DPM Phone: 717-217-6820 Lisa A Price DPM WellSpan ENT & Hearing Kanika Shanker MD Michael R Cashdollar DPM Services 24 Antrim Commons Drive Michael S Husar DPM 22 St Paul Drive GREENCASTLE, PA 17225-1623 Nicholas A Amalfetano DPM Suite 202 Phone: 717-217-6820 Peter J Holdaway DPM Chambersburg, PA 17201-1036 Kanika Shanker MD 601 East Main Street Phone: 717-217-6870 601 East Main Street Third Floor Anna Grigoryeva MD Waynesboro, PA 17268-2332 Waynesboro, PA 17268-2332 H. Carter Davidson MD PhD Phone: 717-217-6820 Phone: 717-264-5211 Joshua L Dunklebarger MD Kanika Shanker MD John M Sekel DPM 24 Antrim Commons Drive Katherine E Cashdollar DPM GREENCASTLE, PA 17225-1623 Physical Medicine & Lisa A Price DPM Phone: 717-217-6870 Rehabilitation Michael R Cashdollar DPM Anna Grigoryeva MD Michael S Husar DPM H. Carter Davidson MD PhD WellSpan Physiatry Nicholas A Amalfetano DPM Joshua L Dunklebarger MD Peter J Holdaway DPM 12 St Paul Drive 601 East Main Street Pulmonary Disease Suite 208 Waynesboro, PA 17268-2332 Chambersburg, PA 17201-1035 Phone: 717-217-6870 Phone: 717-217-6072 Pulmonary Consultants of Anna Grigoryeva MD Matthew C Pauli DO H. Carter Davidson MD PhD Hagerstown Joshua L Dunklebarger MD Plastic Surgery 1823 East Main St, Suite A Waynesboro, PA 17268-1878 Pain Management Phone: 717-762-3353 Cosmetic Plastic Surgery and (Anesthesiology) Imtiaz Khurshid MD Laser Center Johny P Alencherry MD WellSpan Interventional Pain 49 St. Paul Drive Kalim Ahmed MD Specialists Chambersburg, PA 17201-1020 Pajman A Danai MD Phone: 717-261-1620 Shaheen Iqbal MD 12 St Paul Dr Salvatore DiMercurio MD 825 Fifth Avenue Suite 208 Chambersburg, PA 17201 Suite 204 WellSpan Plastic Surgery and Phone: 717-217-6072 Chambersburg, PA 17201-4213 Skin Care Center Phone: 717-496-8163 Heather A Pauli DO Malgorzata Sidor MD 12 St Paul Drive Imtiaz Khurshid MD Michal Glinianski MD Suite 104 Johny P Alencherry MD Chambersburg, PA 17201-1035 Kalim Ahmed MD 24 Antrim Commons Drive Phone: 717-263-8463 Pajman A Danai MD GREENCASTLE, PA 17225-1623 Wayne Ledinh MD Shaheen Iqbal MD Phone: 717-217-6072 Heather A Pauli DO Podiatry WellSpan Pulmonary & Sleep Malgorzata Sidor MD Medicine Michal Glinianski MD WellSpan Podiatry 1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng Page 20 of 52
WellSpan Provider Network Participating Providers Franklin 601 East Main Street Waynesboro, PA 17268-2332 Phone: 717-264-1600 Peter M Jablin MD Santhosh Gheevarghese John MD Saroj P Kandel MD Tarkeshwar Tiwary MD 601 Norland Avenue Suite 100 Chambersburg, PA 17201-4235 Phone: 717-264-1600 Peter M Jablin MD Santhosh Gheevarghese John MD Saroj P Kandel MD Tarkeshwar Tiwary MD Urology WellSpan Urology 120 North 7th Street Suite 200 Chambersburg, PA 17201-1795 Phone: 717-217-6803 Ashish Behari MD Christopher Robison DO Louis L Glass MD Mohan Verghese MD Virgilio A Centenera MD 24 Antrim Commons Drive GREENCASTLE, PA 17225-1623 Phone: 717-217-6803 Ashish Behari MD Christopher Robison DO Louis L Glass MD Mohan Verghese MD Virgilio A Centenera MD 601 East Main Street Waynesboro, PA 17268-2332 Phone: 717-217-6803 Ashish Behari MD Christopher Robison DO Louis L Glass MD Mohan Verghese MD Virgilio A Centenera MD 1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng Page 21 of 52
WellSpan Provider Network Participating Providers Frederick Family Practice WellSpan Family Medicine - Thurmont 52 Water St Thurmont, MD 21788-1912 Phone: 301-271-3535 Mary E DeMino DO Podiatry Atlantic Foot and Ankle Specialist 7101 Guilford Dr Ste 204 Frederick, MD 21704-5217 Phone: 301-694-8880 Cara L Dawes DPM Scott M Henry DPM Nicole S McCormack DPM 1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng Page 22 of 52
WellSpan Provider Network Participating Providers Fulton Gynecology WellSpan OB/GYN 214 Peach Orchard Rd Mc Connellsburg, PA 17233-8559 Phone: 717-485-6125 Laurice A Heine MD Ob/Gyn & CNM WellSpan OB/GYN 214 Peach Orchard Rd Mc Connellsburg, PA 17233-8559 Phone: 717-485-6125 Jacqueline Y Sullivan CNM Julie A Szymanski CNM Nylene Brittain CNM Selena Neiderer CNM Obstetrics & Gynecology WellSpan OB/GYN 214 Peach Orchard Rd Mc Connellsburg, PA 17233-8559 Phone: 717-485-6125 Allan O Anyumba DO Angelique L Ridore MD Christine A Molloy MD Constance I Glass MD Erik C Smith MD M D Leonard DO Mawuli J Brosius MD Ronald Pluszczynski MD Sulang Rosado MD Tasneem S Ahmed MD Waymee L Conner MD Pulmonary Disease Pulmonary Consultants of Hagerstown 214 Peach Orchard Road Mc Connellsburg, PA 17233-8559 Phone: 301-733-0300 Imtiaz Khurshid MD Johny P Alencherry MD Kalim Ahmed MD Pajman A Danai MD Shaheen Iqbal MD 1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng Page 23 of 52
WellSpan Provider Network Participating Providers Lancaster 561 West Trout Run Road Scott T Riebel MD Acupuncture Ephrata, PA 17522 Tatjana Sljapic MD Phone: 717-733-4891 446 N Reading Rd WellSpan Family Health - Amanda N Arnold AUD Suite 302 Georgetown Elizabeth E Blackburn AUD Ephrata, PA 17522-9802 1135 Georgetown Rd Jessica D Jackson AUD Phone: 717-738-0167 Suite 201 Tami L Shea AUD Monodeep Biswas MD Christiana, PA 17509-9543 Arys M Yunque AUD Patrick J Fitzsimmons MD Phone: 717-466-2462 810 Plaza Blvd Umesh C Mishra MD Keith J Wright MD Lancaster, PA 17601 Scott T Riebel MD Phone: 717-394-5088 Tatjana Sljapic MD WellSpan Family Medicine - Amanda N Arnold AUD Trout Run Endocrinology Elizabeth E Blackburn AUD 808 Pleasant View Dr Jessica D Jackson AUD Ephrata, PA 17522-9604 Tami L Shea AUD Pennsylvania Institute of Phone: 717-733-9090 Endocrinology, LLC Joseph G Degenhard MD Behavioral Health 1575 Highlands Drive Suite 206 Allergy & Immunology Philhaven Lititz, PA 17543 Phone: 717-568-8886 354 N Reading Rd Allergy & Asthma Center Saba Faiz MD Ephrata, PA 17522-1651 Tipufaiz M Saleem MD 2445 Marietta Ave Phone: 717-738-1125 175 Martin Avenue Lancaster, PA 17601-1942 Franklin D Deguzman MD Suite 340 Phone: 717-393-1365 Cardiothoracic Surgery Ephrata, PA 17522 Stephen D Lockey MD Phone: 717-568-8886 Robin L Rochow PAC Saba Faiz MD Kayla Wirth PAC WellSpan Cardiology Tipufaiz M Saleem MD 63-65 W. Church St 446 N Reading Rd Ste 75 Suite 302 Family Practice Stevens, PA 17578-9203 Ephrata, PA 17522-9802 Phone: 717-336-0329 Family First Health Phone: 717-738-0167 Stephen D Lockey MD Martin LeBoutillier MD Robin L Rochow PAC 369 Locust St Kayla Wirth PAC Cardiovascular Disease 1st FL Columbia, PA 17512 Anesthesiology Phone: 717-342-2577 ECH-Cardiology Wanda D Filer MD Anesthesia & Pain Associates 169 Martin Ave Melanie K Finkenbinder MD of Northern Lancaster County Ephrata, PA 17522-1724 Luis I Garcia MD Phone: 717-738-6423 Asceline S Go MD 169 Martin Ave Umesh C Mishra MD Elizabeth A Horst DO Ephrata, PA 17522-1724 Marie L Kellett MD Phone: 717-738-6782 WellSpan Cardiology Catherine R Mauss DO Alan R Berkowitz MD Hetal V Patel MD Robert A Garvin DO 140 North Pointe Blvd Heather A Rosario PAC Scott R Griffith MD Lancaster, PA 17601-4132 Junia P Tiruchelvam MD Michael G Katos MD Phone: 717-291-0700 Oluwatomi O Uwazota MD Brian R Melamed MD Monodeep Biswas MD Matthew E Midcap MD Patrick J Fitzsimmons MD Penn State Health Medical Jeffrey B Musser DO Umesh C Mishra MD Group - Lime Spring Scott T Riebel MD Audiology 2221 Noll Dr Ste 2000 Tatjana Sljapic MD Lancaster, PA 17603-7610 435 S Kinzer Ave Phone: 717-715-1001 Otolaryngology Physicians of Suite 7 Kimberly M Brown PAC Lancaster New Holland, PA 17557-8706 Candice M Cavicchia Miller MD Phone: 717-354-6676 Michael C DeVine DO Umesh C Mishra MD Thomas M Mextorf DO 1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng Page 24 of 52
WellSpan Provider Network Participating Providers Lancaster Danielle J Miller MD Catherine J Edmonds MD Garry L Mueller MD David H Emmert MD WellSpan Family Medicine - Stanley S Paist MD Chelsea D Fought PAC Crossroads Adam P Schnupp PAC Lindsay Lafferty MD 4131 Oregon Pike Susanne M Scott MD Elizabeth L Messick PAC Brownstown, PA 17508-0489 Thomas C Scott MD Timothy V Weaver MD Phone: 717-859-1123 Scott G Snyder MD Asima Ahmad DO Elizabeth S Van Aulen MD WellSpan Family & Pediatric Cary L Campanella MD Michael W Warren MD Medicine - Rothsville John T Coates DO Linda S Wenger PA 2320 Rothsville Rd Peter S Oh DO Suite 200 Elsy L Santizo Deleon MD Penn State Health Medical Lititz, PA 17543-8217 Jonathan A Sneller DO Group - Propect Phone: 717-721-4800 James E Stephenson MD 3985 Columbia Ave Ste 8 Steven C Bade MD Jonathan A Youngwirth DO Columbia, PA 17512-9037 Nicholas A Buckwalter MD Phone: 717-285-3144 John E Conwell MD WellSpan Family Medicine - Louis J Aikens PAC Jaclyn E Hepworth PAC Granite Run James A Bernheisel MD Jonathan D Lehman PAC 264 Granite Run Dr Diane K Donnelly MD Regina M Martin PAC Lancaster, PA 17601-6804 Riley J Manion DO Janis K Stone PAC Phone: 717-721-8205 Stacy M Spence PAC Paul E Vassil MD Stephanie J Ashbaugh MD Randy R Westgate MD James M Elia MD WellSpan Family & Sports Penn State Medical Group - Medicine - Cocalico WellSpan Family Medicine - Cornerstone 30 W Swartzville Rd Lake Street 6 W Newport Rd Reinholds, PA 17569-9641 Brossman Center for Health Lititz, PA 17543 Phone: 717-484-4347 136 Lake St Phone: 717-627-2108 Joanna E Brelvi MD Ephrata, PA 17522-2415 Carolyn S Esterly PAC Zachary A Geidel MD Phone: 717-721-7718 Charles R Mershon MD Sana Hanafi MD Paul G Avadanian DO Ruth A Mershon PAC Rajiv Kalra DO Douglas R Morrissey MD Julianne D Rees-Swartz DO WellSpan Family Medicine - Scott C Osborn DO Mary G Tierney MD Meadowbrook Kyle A Russell PAC WellSpan Family Health - 337 W Main St Penn State Medical Group - Suite 100 Georgetown Leola, PA 17540-2109 Eastbrook 1135 Georgetown Rd Phone: 717-656-6122 29 Eastbrook Rd Suite 201 David J Gasperack DO Ronks, PA 17572-0309 Christiana, PA 17509-9543 Lindsey A Goetz MD Phone: 717-299-5711 Phone: 717-466-2462 Robert L Good MD Vera N Guertler MD Keith J Wright MD Ashlee F Weaver PAC John C Hess MD Kaitlyn E Wieland PAC Kathleen A Kreider MD WellSpan Family Medicine - 207 W Fulton St WellSpan Family Medicine - Penn State Medical Group - 207 W Fulton Street Terre Hill Kissel Hill Ephrata, PA 17522-1902 770 Broad St 116B W Airport Rd Phone: 717-738-2468 East Earl, PA 17519-9752 Lititz, PA 17543 Joseph J Irwin MD Phone: 717-445-4576 Phone: 717-581-9000 Christopher G McCarty DO John D Ginder DO WellSpan Family Medicine - 222 Bruce C Waskowicz MD W Fulton St Penn State Medical Group - 222 W Fulton Street WellSpan Family Medicine - Manor Ephrata, PA 17522-1901 Trout Run 16A Manor Avenue Phone: 717-733-2324 808 Pleasant View Dr Millersville, PA 17551 Christopher D Brabazon DO Ephrata, PA 17522-9604 Phone: 717-872-5444 John F Brabazon DO Phone: 717-733-9090 Niladri Das MD Joseph J Irwin MD Joseph G Degenhard MD Melissa A DeStefano PAC Mandy R Fannin MD 1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng Page 25 of 52
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