Provider Demographics
NPI:1952328973
Name:WAYNESBORO INTERNAL MEDICINE ASSOCIATES
Entity Type:Organization
Organization Name:WAYNESBORO INTERNAL MEDICINE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:TERNES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-762-3350
Mailing Address - Street 1:1051 E MAIN ST
Mailing Address - Street 2:SUITE #2
Mailing Address - City:WAYNESBORO
Mailing Address - State:PA
Mailing Address - Zip Code:17268-2318
Mailing Address - Country:US
Mailing Address - Phone:717-762-3050
Mailing Address - Fax:717-762-8254
Practice Address - Street 1:1051 E MAIN ST
Practice Address - Street 2:SUITE #2
Practice Address - City:WAYNESBORO
Practice Address - State:PA
Practice Address - Zip Code:17268-2318
Practice Address - Country:US
Practice Address - Phone:717-762-3050
Practice Address - Fax:717-762-8254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD021498E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA156448Medicare ID - Type UnspecifiedGROUP ID #