LANCASTER PA ENDOSCOPY ASC LLC (NPI# 1124180427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124180427 |
| Entity Type | Organization |
| Organization Name | LANCASTER PA ENDOSCOPY ASC LLC |
| Other Organization Name | LANCASTER GASTROENTEROLOGY PROCEDURE CENTER |
| Practice Address |
2112 Harrisburg Pike Suite 323 Lancaster PA 17604 |
| Practice Telephone | 7175443569 |
| Practice Fax Number | 7175443570 |
| Mailing Telephone | 7175443569 |
| Mailing Fax Number | 7175443570 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2017-03-14 |
| Authorized Official Name | MR. PHILLIP A CLENDENIN (PRESIDENT) |
| Authorized Official Telephone | 6156651283 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
17211501 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1019852560001 | 05 |
| Other Name | Type Code |
|---|---|
| Lancaster Gastroenterology Procedure Center | Doing Business As Name - Organization |
| Street Address |
2112 HARRISBURG PIKE SUITE 323 |
| City | LANCASTER |
| State | PA |
| Zip Code | 17604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205831260 | David M. Weston | Internal Medicine | 2112 Harrisburg Pike, Ste 202, Lancaster, PA 17601-2644 | 2005-06-16 |
| 1790294288 | Bethany Noelle Jacobs | Physician Assistant | 2112 Harrisburg Pike, Lancaster, PA 17601-2644 | 2017-09-27 |
| 1124559679 | Midatlantic Endoscopy LLC | Clinic/Center | 2112 Harrisburg Pike, Suite 323, Lancaster, PA 17601-2644 | 2017-03-27 |
| 1598216053 | Christopher Trace Rohrer | Physical Therapist | 2112 Harrisburg Pike, Ste 321, Lancaster, PA 17601-2644 | 2016-10-20 |
| 1336692680 | Donna Mongeau | Nurse Practitioner | 2112 Harrisburg Pike, Suite 312, Lancaster, PA 17601-2644 | 2016-08-03 |
| 1578913695 | Jennifer Swope | Nurse Practitioner | 2112 Harrisburg Pike, Suite 312, Lancaster, PA 17601-2644 | 2016-06-20 |
| 1932555265 | Jessica S May | Nurse Practitioner | 2112 Harrisburg Pike, Suite 312, Lancaster, PA 17601-2644 | 2016-05-05 |
| 1417302928 | Megan Waltman | Nurse Practitioner | 2112 Harrisburg Pike, Suite 312, Lancaster, PA 17601-2644 | 2016-05-03 |
| 1679939797 | Andra Riela Marosok | Nurse Practitioner | 2112 Harrisburg Pike, Suite 312, Lancaster, PA 17601-2644 | 2016-01-05 |
| 1619332756 | Sheila Dyer | Nurse Practitioner | 2112 Harrisburg Pike, Lancaster, PA 17601-2644 | 2015-12-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710301718 | April Noelle Campbell | Psychologist | 283 Butler Rd., Philhaven, Mt. Gretna, PA 17604 | 2014-02-11 |
| 1578658787 | Donna Marie Wiest | Pharmacist | Lifecare Pharmacy, 2106 Harrisburg Pk., Lancaster, PA 17604 | 2006-10-04 |
| 1649298498 | Cancer Care for Women PC | Obstetrics & Gynecology | 694 Good Drive, Suite 205, Lancaster, PA 17604 | 2006-07-18 |
| 1811974108 | James L Medina | Emergency Medicine | 555 North Duke St, Lancaster, PA 17604 | 2005-12-28 |
| 1003892167 | Julia Darlene Fuller | Nurse Anesthetist, Certified Registered | 555 N. Duke St., Lancaster, PA 17604 | 2005-12-21 |
| 1275016065 | Lauren Olmstead | Pharmacist | 555 North Duke Street, Lancaster, PA 17604 | 2018-09-08 |
| 1255586178 | David Somerman | Internal Medicine | 2110 Harrisburg Pike, Suite 310, Lancaster, PA 17604 | 2008-11-19 |
| 1700043270 | Michaela Mocanu | Internal Medicine | 2110 Harrisburg Pike, Suite 310, Lancaster, PA 17604 | 2008-05-21 |
| 1750592531 | The Physicians' Surgery Center Lancaster General, LLC | Clinic/Center | 2150 Harrisburg Pike, Lancaster, PA 17604 | 2007-05-24 |
| 1992926554 | Jean David Dumornay | Family Medicine | 555 North Duke Street, Lancaster, PA 17604 | 2007-05-01 |
| Find all providers in zip 17604 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013471754 | Advanced Surgery Center of Lancaster, LLC | Clinic/Center | 160 N Pointe Blvd Ste 105, Lancaster, PA 17601-4134 | 2019-01-28 |
| 1255872784 | Midatlantic Endoscopy LLC | Clinic/Center | 2112 Harrisburg Pike Ste 100, Lancaster, PA 17601-2644 | 2017-03-16 |
| 1033668587 | Lancaster Specialty Surgery Center | Clinic/Center | 3056 Columbus Lancaster Rd Nw, Lancaster, OH 43130-8126 | 2016-09-26 |
| 1396130514 | 15th Street Surgical Center, Inc. | Clinic/Center | 43821 15th St W, Lancaster, CA 93534-4756 | 2015-04-03 |
| 1902221021 | Reginald Sampson Md A Professional Corporation | Clinic/Center | 1741 W. Avenue J, Lancaster, CA 93534-2703 | 2014-02-26 |
| 1285907188 | Trinity Surgical Solutions, Inc | Clinic/Center | 44815 Fig Ave Ste 100, Lancaster, CA 93534-3144 | 2012-02-23 |
| 1619284536 | Childrens Surgery Center, LLC | Clinic/Center | 2160 Noll Dr, Lancaster, PA 17603-7603 | 2010-09-13 |
| 1639317399 | The Neurospine Center, LLC | Clinic/Center | 730 Eden Rd., Lancaster, PA 17601 | 2009-02-03 |
| 1598956088 | Orthopedic Surgery Center of Ellis County, LLC | Clinic/Center | 2400 W Pleasant Run Rd Ste 210, Lancaster, TX 75146-1179 | 2007-08-08 |
| 1629107164 | Hull Eye Surgery Center | Clinic/Center | 1739 W Avenue J, Lancaster, CA 93534-2703 | 2007-03-02 |
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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.