Healthcare Provider Details

I. General information

NPI: 1457000648
Provider Name (Legal Business Name): ADAM ROBERT OHNMACHT DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2022
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 1ST ST
MILLERSBURG PA
17061-1501
US

IV. Provider business mailing address

7 DOCK HILL RD
MIDDLEBURG PA
17842-8910
US

V. Phone/Fax

Practice location:
  • Phone: 717-692-4834
  • Fax: 717-692-3678
Mailing address:
  • Phone: 570-837-2123
  • Fax: 570-837-2185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS024713
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: