PROACTIVE MD PENN PC
NPI 1417619842
Clinic/Center - Primary Care in York, PA

Q: What is Proactive MD Penn PC's NPI number?

The NPI number for Proactive MD Penn PC is 1417619842. It was assigned to this organization in the NPPES registry on October 13, 2021. The provider is doing business as Proactive MD. The provider is also known as Proactive MD Lincoln Intermediate Health Center York.

Q: What is Proactive MD Penn PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since October 13, 2021

300 E 7TH AVE, YORK, PA 17404(864) 501-0751 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 27, 2026, Apr 10, 2025, Oct 13, 2021 (3 updates tracked since 2021).

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About Proactive Md Penn Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROACTIVE MD PENN PC (NPI 1417619842), doing business as Proactive Md, is a healthcare organization registered as a primary care in York, Pennsylvania and active in the NPI registry since October 2021. The organization lists Mark Kemble, Cmo, as its authorized official.

NPPES Registry Identity

NPI1417619842

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NamePROACTIVE MD PENN PC

Location Address300 E 7TH AVEYork, PA 17404-2105

Mailing Address86 Villa Rd Ste 100Greenville, SC 29615-3052 · (864) 640-8355

Phone(864) 501-0751

Organization SubpartNo

Authorized OfficialMark KembleCmo · (864) 640-8355

Enumeration DateOctober 13, 2021

Last NPPES UpdateJanuary 27, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 27, 2026

✔ NPI 1417619842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

300 E 7TH AVE, York, PA 17404

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Other Names 2

Doing Business AsProactive Md

Other NameProactive Md Lincoln Intermediate Health Center York

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEFFREY WILLIAM HERMANN MD

Psychiatry & Neurology (Child & Adolescent Psychiatry)

300 E 7TH AVE
YORK, PA 17404

York County (717) 718-5813

MS. KATHY G. NAUMAN LSW

Social Worker (Clinical)

300 E 7TH AVE
YORK, PA 17404

York County (717) 718-5813

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Proactive MD Penn PC's NPI number?

The NPI number for Proactive MD Penn PC is 1417619842. It was assigned to this organization in the NPPES registry on October 13, 2021. The provider is doing business as Proactive MD. The provider is also known as Proactive MD Lincoln Intermediate Health Center York.

Where is Proactive MD Penn PC located?

Proactive MD Penn PC is located at 300 E 7th Ave, York, PA 17404. The listed phone number is (864) 501-0751.

What is Proactive MD Penn PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Proactive MD Penn PC was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.