HERITAGE MEDICAL GROUP, LLP (NPI# 1073767547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073767547 |
| Entity Type | Organization |
| Organization Name | HERITAGE MEDICAL GROUP, LLP |
| Other Organization Name | HERITAGE CARDIOLOGY ASSOCIATES |
| Practice Address |
425 N 21st St Suite 102 Camp Hill PA 17011-2223 |
| Mailing Address |
3 Walnut St Suite 206 Lemoyne PA 17043-1168 |
| Practice Telephone | 7179722829 |
| Practice Fax Number | 7179722844 |
| Mailing Telephone | 7177610208 |
| Mailing Fax Number | 7177612023 |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2009-11-25 |
| Authorized Official Name | DR. JOSEPH A. CINCOTTA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7177610208 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | MA003076L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Heritage Cardiology Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760636815 | Heritage Medical Group, LLP | Nurse Practitioner | 4470 Valley Rd, Enola, PA 17025-1443 | 2008-11-14 |
| 1508972175 | Heritage Medical Group, LLP | Internal Medicine | 362 N Broadway Fl 2, Sleepy Hollow, NY 10591-2310 | 2006-08-23 |
| 1831494798 | Heritage Medical Group, LLP | Family Medicine | 40 2nd St, Highspire, PA 17034-1002 | 2011-01-24 |
| 1326368077 | Heritage Medical Group, LLP | Internal Medicine | 3 Walnut St, Suite 205, Lemoyne, PA 17043-1168 | 2010-06-04 |
| 1053550715 | Heritage Medical Group, LLP | Psychiatry & Neurology | 110 Lowther St, Lemoyne, PA 17043-2012 | 2009-02-19 |
| 1831338011 | Heritage Medical Group, LLP | Audiologist | 2025 Technology Pkwy, Suite G-03, Mechanicsburg, PA 17050-9400 | 2009-02-12 |
| 1417101643 | Heritage Medical Group, LLP | Physician Assistant | 845 Sir Thomas Ct, Suite 3, Harrisburg, PA 17109-4840 | 2008-11-14 |
| 1326292558 | Heritage Medical Group, LLP | Clinical Medical Laboratory | 3 Walnut St, Suite 101, Lemoyne, PA 17043-1168 | 2008-11-14 |
| 1912151143 | Heritage Medical Group, LLP | Radiology | 3 Walnut St, Suite 100, Lemoyne, PA 17043-1168 | 2008-11-14 |
| 1649424870 | Heritage Medical Group, LLP | Internal Medicine | 3 Walnut St, Suite 206, Lemoyne, PA 17043-1168 | 2008-11-14 |
| Street Address |
425 N 21ST ST SUITE 102 |
| City | CAMP HILL |
| State | PA |
| Zip Code | 17011-2223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679565527 | Mohamed F Elnour | Internal Medicine | 425 N 21st St, Suite 204, Camp Hill, PA 17011-2223 | 2005-08-17 |
| 1366839128 | Michele Anderson | Dermatology | 425 N 21st St, Camp Hill, PA 17011-2223 | 2015-04-20 |
| 1851794283 | Cosmetic and Plastic Surgery of Central Pennsylvania, LLC | Plastic Surgery | 425 N 21st St, Suite 405, Camp Hill, PA 17011-2223 | 2014-09-30 |
| 1659799203 | Lulit Price | Dermatology | 425 N 21st St, Camp Hill, PA 17011-2223 | 2014-04-01 |
| 1407120942 | Spirit Physician Services, Inc. | Internal Medicine | 425 N 21st St, Camp Hill, PA 17011-2223 | 2012-03-01 |
| 1255609632 | Erica J Kissell | Nurse Practitioner | 425 N 21st St, Suite 102, Camp Hill, PA 17011-2223 | 2011-12-13 |
| 1932477833 | Ankit Rohitbhai Parikh | Internal Medicine | 425 N 21st St, Camp Hill, PA 17011-2223 | 2011-12-06 |
| 1689951832 | James F Rich Md PC | Preferred Provider Organization | 425 N 21st St, Suite406, Camp Hill, PA 17011-2223 | 2011-11-15 |
| 1245517846 | Christina A Basonic | Nurse Practitioner | 425 N 21st St, Suite 102, Camp Hill, PA 17011-2223 | 2011-11-10 |
| 1427284991 | Whitney Meredith Amato | Physician Assistant | 425 N 21st St, Camp Hill, PA 17011-2223 | 2009-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790241628 | Harrisburg Home Care | Home Health | 1713 Hammel Road, R2, Harrisburg, PA 17011 | 2019-02-15 |
| 1427540269 | Eldercare Solutions LLC | Adult Companion | 1926 Market Street, Camp Hill, PA 17011 | 2018-06-06 |
| 1538680244 | Edward Joseph Hilton | Dentist | 3412 Trindle Road, Camp Hill, PA 17011 | 2017-07-03 |
| 1639609696 | Alicia Taylor Brustein | Physician Assistant | 425 North 21st Street, Suite 405, Camp Hill, PA 17011 | 2017-06-13 |
| 1285166843 | Betsy Earnest, Lpc, LLC | Counselor | 1509 Cedar Cliff Drive, Suite 4, Camp Hill, PA 17011 | 2017-03-31 |
| 1962852368 | Angela Antonia Debo | Family Medicine | 3025 Market Street, Entrance B, Camp Hill, PA 17011 | 2016-06-16 |
| 1033567839 | Timothy Zack Day | Physician Assistant | 897 Poplar Rd, Camp Hill, PA 17011 | 2016-06-02 |
| 1962864892 | Tracy Byra | Registered Nurse | 15 Scarsdale Drive, Camp Hill, PA 17011 | 2016-03-21 |
| 1245634138 | Charlotte Diane Hain | Psychologist | 781 Poplar Church Road, Camp Hill, PA 17011 | 2014-10-21 |
| 1205276805 | Isaac S Chiang | Optometrist | South 32nd Street & Trindle Rd, Camp Hill, PA 17011 | 2013-06-27 |
| Find all providers in zip 17011 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780845271 | Aditya Sharma | Internal Medicine | 875 Poplar Church Rd Fl 4, Camp Hill, PA 17011-2203 | 2008-06-18 |
| 1598847733 | Prasanna Sugathan | Internal Medicine | 875 Poplar Church Rd., 4th Floor, Camp Hill, PA 17011-8794 | 2006-10-19 |
| 1821007774 | Lewin & Nadar Associates LLP | Internal Medicine | 425 N 21st Street, Camp Hill, PA 17011 | 2006-08-07 |
| 1295738441 | Lenke Erki | Internal Medicine | 875 Poplar Church Rd, Suite 400, Camp Hill, PA 17011-2203 | 2005-05-23 |
| 1407120942 | Spirit Physician Services, Inc. | Internal Medicine | 425 N 21st St, Camp Hill, PA 17011-2223 | 2012-03-01 |
| 1609042688 | James C Lightfoot | Internal Medicine | 875 Poplar Church Rd, Suite 400, Camp Hill, PA 17011-2203 | 2008-04-30 |
| 1154383826 | Venkatesh K Nadar | Internal Medicine | 875 Poplar Church Rd, Suite 400, Camp Hill, PA 17011-2203 | 2006-04-06 |
| 1891755922 | Safwat Albert Gassis | Internal Medicine | 875 Poplar Church Rd, Suite 400, Camp Hill, PA 17011-2203 | 2006-03-24 |
| 1629038617 | Stanley B Lewin | Internal Medicine | 875 Poplar Church Rd, Suite 400, Camp Hill, PA 17011-2203 | 2006-03-24 |
| 1942274972 | Ketan R Sheth | Internal Medicine | 875 Poplar Church Rd, Suite 400, Camp Hill, PA 17011-2203 | 2006-02-15 |
| Find all providers in CAMP HILL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.