PROACTIVE MD PENN PC
NPI 1457022204
Clinic/Center - Primary Care in New Oxford, PA

Active since September 22, 2021
65 BILLERBECK ST, NEW OXFORD, PA 17350(864) 501-0751 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 27, 2026, Apr 10, 2025, Sep 22, 2021 (3 updates tracked since 2021).

About Proactive Md Penn Pc NPPES

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

PROACTIVE MD PENN PC (NPI 1457022204), doing business as Lincoln Intermediate Health Center New Oxford, is a healthcare organization registered as a primary care in New Oxford, Pennsylvania and active in the NPI registry since September 2021. The organization lists Mark Kemble, Cmo, as its authorized official.

NPPES Registry Identity

NPI1457022204
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROACTIVE MD PENN PC
Location Address65 BILLERBECK STNew Oxford, PA 17350-9375
Mailing Address86 Villa Rd Ste 100Greenville, SC 29615-3052 · (864) 640-8355
Organization SubpartNo
Authorized OfficialMark KembleCmo · (864) 640-8355
Enumeration DateSeptember 22, 2021
Last NPPES UpdateJanuary 27, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
NPI 1457022204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
65 BILLERBECK ST, New Oxford, PA 17350

Other Names 1

Doing Business AsLincoln Intermediate Health Center New Oxford

Other Providers at the Same Location NPPES 20

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

Speech-Language Pathologist
65 BILLERBECK ST
NEW OXFORD, PA 17350
Speech-Language Pathologist
65 BILLERBECK ST
NEW OXFORD, PA 17350
Speech-Language Pathologist
65 BILLERBECK ST
NEW OXFORD, PA 17350
Speech-Language Pathologist
65 BILLERBECK ST
NEW OXFORD, PA 17350
Local Education Agency (LEA)
65 BILLERBECK ST
NEW OXFORD, PA 17350
Speech-Language Pathologist
65 BILLERBECK ST
NEW OXFORD, PA 17350
Psychologist
65 BILLERBECK ST
NEW OXFORD, PA 17350
Occupational Therapist
65 BILLERBECK ST
NEW OXFORD, PA 17350

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 1457022204. It was assigned to this organization in the NPPES registry on September 22, 2021. The provider is doing business as Lincoln Intermediate Health Center New Oxford.

Where is Proactive MD Penn PC located?

Proactive MD Penn PC is located at 65 Billerbeck St, New Oxford, PA 17350. 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.