Organization · Type 2 NPI

Proactive MD Penn PC

Primary Care Clinic/Center · New Oxford, PA

NPI number 1457022204 Active

Practice location

65 Billerbeck St
New Oxford, PA 17350-9375

Call (864) 501-0751 Map

Mailing address

86 Villa Rd Ste 100
Greenville, SC 29615-3052

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center Primary	261QP2300X	None listed

Primary Care Clinic/Center: Definition to come...

19 other providers at this address

Other primary care clinic/center providers in New Oxford

Hanover Health Corporation IncPrimary Care Clinic/Center New Oxford, PA NPI 1588628465
Hanover Health Corporation IncPrimary Care Clinic/Center New Oxford, PA NPI 1689639791

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NPI record

NPI: 1457022204
Entity type: Organization (Type 2)
Issued: Sep 22, 2021
Last updated: Aug 31, 2026
Status: Active

Other names

<unavail>
Lincoln Intermediate Health Center New Oxford · doing business as
Lincoln Intermediate Health Center New Oxford · doing business as

Authorized official

Mark Kemble, MD
CMO
(864) 640-8355

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About NPI 1457022204

Proactive MD Penn PC's National Provider Identifier is 1457022204, issued on Sep 22, 2021. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in New Oxford, PA. The record was last updated on Aug 31, 2026.