LANCASTER GENERAL MEDICAL GROUP (NPI# 1134164676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134164676 |
| Entity Type | Organization |
| Organization Name | LANCASTER GENERAL MEDICAL GROUP |
| Other Organization Name | PENN MEDICINE LGHP FAMILY MEDICINE LINCOLN |
| Practice Address |
1635 West Main Street Suite 700 Ephrata PA 17522-1119 |
| Practice Telephone | 7177380660 |
| Practice Fax Number | 7177380658 |
| Mailing Telephone | 7177380660 |
| Mailing Fax Number | 7177380658 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2019-11-05 |
| Authorized Official Name | DENISE KENNEDY (VICE PRESIDENT FINANCIAL SERVICES) |
| Authorized Official Telephone | 7175445010 |
| Is Organization Subpart | Y |
| Parent Organization Name | LANCASTER GENERAL MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | AETNA NON-HMO | 7991794 | 01 |
| PA | GEISINGER HEALTH PLAN | S1QF | 01 |
| PA | CAPITAL BLUE CROSS | 50060200 | 01 |
| PA | 1007327490105 | 05 | |
| PA | GATEWAY HEALTH PLAN | 1555387 | 01 |
| PA | HIGHMARK BLUE SHIELD | 1875158 | 01 |
| PA | AETNA CAP OFFICE# | 336301 | 01 |
| PA | 1016598680105 | 05 | |
| PA | AETNA HMO | 1282458 | 01 |
| Other Name | Type Code |
|---|---|
| LGHP/Penn Medicine Family Medicine Lincoln | Doing Business As Name - Organization |
| Penn Medicine LGHP Family Medicine Lincoln | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699383430 | Lancaster General Medical Group | Family Medicine | 26 N Cedar St, Lititz, PA 17543-1514 | 2020-07-17 |
| 1629694880 | Lancaster General Medical Group | Clinic/Center | 2112 Harrisburg Pike Ste 323, Lancaster, PA 17601-2644 | 2020-06-23 |
| 1134765456 | Lancaster General Medical Group | Family Medicine | 100 N Queen St Ste 200, Lancaster, PA 17603-3550 | 2019-11-21 |
| 1093360224 | Lancaster General Medical Group | Family Medicine | 432 Cloverleaf Rd, Elizabethtown, PA 17022-9320 | 2019-08-05 |
| 1710478540 | Lancaster General Medical Group | Family Medicine | 51 Peters Rd Ste 101, Lititz, PA 17543 | 2018-05-29 |
| 1730568932 | Lancaster General Medical Group | Counselor | 931 Harrisburg Ave, Franklin & Marshall College - Appel Health Services, Lancaster, PA 17603-2652 | 2015-05-21 |
| 1053702233 | Lancaster General Medical Group | Internal Medicine | 690 Good Drive, Women's Outpatient Center 2nd Flr, Lancaster, PA 17601-2433 | 2015-02-10 |
| 1760803423 | Lancaster General Medical Group | Internal Medicine | 2106 Harrisburg Pike Ste 301, Lancaster, PA 17601-2644 | 2013-12-26 |
| 1649517236 | Lancaster General Medical Group | Family Medicine | 99 Masonic Dr, Suite 101, Elizabethtown, PA 17022-2547 | 2013-01-16 |
| 1922037126 | Lancaster General Medical Group | Family Medicine | 5360 Lincoln Highway East, Store #15, Village At Gap, Gap, PA 17527-9461 | 2006-07-01 |
| Street Address |
1635 WEST MAIN STREET SUITE 700 |
| City | EPHRATA |
| State | PA |
| Zip Code | 17522-1119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427667336 | Indiju 4 Dental LLC | Clinic/Center | 4240 Oregeon Pk., Ephrata, PA 17522 | 2020-07-27 |
| 1134778251 | Anna Thornton | Pharmacist | Ephrata Outpatient Pharmacy-wellspan, 183 N. Reading Road, Suite 9, Ephrata, PA 17522 | 2019-09-11 |
| 1316320898 | Shivani Bista | Obstetrics & Gynecology | 175 Martin Ave Ste 125, Ephrata, PA 17522 | 2015-07-02 |
| 1336583475 | Ccjp, Inc. | In Home Supportive Care | 1060 S. State Street, Suite E, Ephrata, PA 17522 | 2013-04-19 |
| 1548503600 | Timothy Lawrence Basom | Physical Therapist | 136 E Lake St, Ephrata, PA 17522 | 2013-03-27 |
| 1316228406 | Cheryl L. Stephen | Nurse Practitioner | 466 N. Reading Rd, Suite 301, Ephrata, PA 17522 | 2011-09-01 |
| 1174833743 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 803 Oak Boulevard, Ephrata, PA 17522 | 2010-10-18 |
| 1487964953 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 957 Hammon Avenue, Ephrata, PA 17522 | 2010-10-18 |
| 1396957148 | Carl Richard Hankel | Nurse Practitioner | 4237 Oregon Pike, Worknet Occupational Medicine, Ephrata, PA 17522 | 2007-05-04 |
| 1396877726 | Regional Gastroenterology Associates of Lancaster, Ltd | Clinic/Center | 4140 Oregon Pike, Ephrata, PA 17522 | 2007-03-12 |
| Find all providers in zip 17522 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346697398 | Darya Heim | Family Medicine | 136 Lake St, Brossman Center for Health, Ephrata, PA 17522-2415 | 2016-05-19 |
| 1033556253 | Jonathan Musyt | Family Medicine | 1635 W Main St Ste 700, Ephrata, PA 17522-1147 | 2013-05-29 |
| 1609949585 | Ephrata Family Practice Associates | Family Medicine | 44 Lancaster Ave., Ephrata, PA 17522-1708 | 2006-11-16 |
| 1679665780 | William Brian Kirkham | Family Medicine | 220 Southeast Blvd, Ephrata, WA 98823-1973 | 2006-09-28 |
| 1316048085 | Rhonda Venise Edison | Family Medicine | 314 Basin St Sw, Ephrata, WA 98823-1850 | 2006-09-26 |
| 1346344561 | Northern Lancaster County Medical Group | Family Medicine | 136 A & B Lake Street, Ephrata, PA 17522-2415 | 2006-09-08 |
| 1801906870 | Nancy Jeffries | Family Medicine | 617 Glenwood Dr, Ephrata, PA 17522-9778 | 2006-08-30 |
| 1063522050 | Joseph J Irwin | Family Medicine | 561 W Trout Run Rd, Ephrata, PA 17522-9604 | 2006-08-30 |
| 1073547733 | Northern Lancaster County Medical Group | Family Medicine | 808 Pleasantview Dr, Ephrata, PA 17522-1644 | 2006-07-10 |
| 1346285574 | Curtis L Hershey | Family Medicine | 1635 W Main St, Suite 700, Ephrata, PA 17522-1119 | 2006-06-19 |
| Find all providers in EPHRATA | ||||
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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.