Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Christy L Fedorwich, PA

Individual provider Physician Assistant · NPI 1588643472

MS. Christy L Fedorwich, PA is a Physician Assistant in Lebanon, Pennsylvania. Qualified in 2004, 22 years ago. Practices with Guthrie Medical Group PC, a 797-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut, New Jersey and New York.

Years since qualifying
22
Licensed in
CT, NJ, NY
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

252 S 4th St
Lebanon, PA 17042-6111
Phone: (717) 270-3751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 30 Harrison St Ste 250, Johnson City, NY 13790-2176 — (607) 763-6580

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 024817 (NY)
Physician Assistant Taxonomy 363A00000X · Licence MP00218800 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence 001613 (CT)

Record details

NPI number1588643472
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 10, 2006
Last updated in NPPESAugust 23, 2024
Certification dateAugust 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Guthrie Medical Group Pc — 797 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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