LANCASTER GENERAL MEDICAL GROUP (NPI# 1154795920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154795920 |
| Entity Type | Organization |
| Organization Name | LANCASTER GENERAL MEDICAL GROUP |
| Other Organization Name | PENN MEDICINE LGHP FAMILY MEDICINE MANOR RIDGE |
| Practice Address |
2113 Manor Ridge Dr Lancaster PA 17603-4215 |
| Practice Telephone | 7172994644 |
| Practice Fax Number | 7173902916 |
| Mailing Telephone | 7172994644 |
| Mailing Fax Number | 7173902916 |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2019-11-05 |
| Authorized Official Name | DENISE KENNEDY (VICE PRESIDENT FINANCIAL SERVICES) |
| Authorized Official Telephone | 7175445010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| LGHP/Penn Medicine Family Medicine Manor Ridge Family | Doing Business As Name - Organization |
| Penn Medicine LGHP Family Medicine Manor Ridge | 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 |
2113 MANOR RIDGE DR |
| City | LANCASTER |
| State | PA |
| Zip Code | 17603-4215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598797227 | Susan M Hogg | Family Medicine | 2113 Manor Ridge Dr, Lancaster, PA 17603-4215 | 2006-07-06 |
| 1992289516 | Kinjal Ramani | Nurse Practitioner | 2113 Manor Ridge Dr, Lancaster, PA 17603-4215 | 2018-09-19 |
| 1952758385 | Lindsey Neiss | Nurse Practitioner | 2113 Manor Ridge Dr, Lancaster, PA 17603-4215 | 2016-05-16 |
| 1316343296 | Douglas Krysan | Physician Assistant | 2113 Manor Ridge Dr, Lancaster, PA 17603-4215 | 2014-11-05 |
| 1073836102 | Suzanne Irene Rutkowski | Social Worker | 2113 Manor Ridge Dr, Lancaster, PA 17603 | 2010-03-03 |
| 1699902635 | Rachel A Hogg | Family Medicine | 2113 Manor Ridge Dr, Lancaster, PA 17603-4215 | 2009-06-17 |
| 1356366017 | Christopher H Fox | Family Medicine | 2113 Manor Ridge Dr, Lancaster, PA 17603-4215 | 2006-07-13 |
| 1174548820 | Michael S Shirk | Family Medicine | 2113 Manor Ridge Dr, Lancaster, PA 17603-4215 | 2006-07-13 |
| 1457384265 | Spencer D Phillips Md Mdvip Ltd | Family Medicine | 2113 Manor Ridge Dr, Lancaster, PA 17603-4215 | 2006-07-08 |
| 1003849928 | Spencer D Phillips | Family Medicine | 2113 Manor Ridge Dr, Lancaster, PA 17603-4215 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757311 | Meadow Grove Counseling, LLC | Counselor | 822 Marietta Avenue, Lancaster, PA 17603 | 2020-07-06 |
| 1386274355 | Bristeena K Peter | Registered Nurse | 122 Broadstone St, Lancaster, PA 17603 | 2020-01-18 |
| 1164926457 | Kelly Fickett | Registered Nurse | 100 Rohrstown Rd, Suite A, Lancaster, PA 17603 | 2018-03-21 |
| 1063929115 | Lancaster Behavioral Health Hospital LLC | Psychiatric Hospital | 333 Harrisburg Ave, Lancaster, PA 17603 | 2018-01-10 |
| 1659880458 | Young Men's Christian Association of Lancaster County | Health Educator | 265 Harrisburg Ave, Lancaster, PA 17603 | 2017-09-25 |
| 1447779228 | Joshua Michael Saez | Licensed Practical Nurse | 410 N Prince St., Lancaster, PA 17603 | 2017-09-13 |
| 1689190126 | Leeann Koch | Audiologist | 2160 Noll Drive, Suite 100, Lancaster, PA 17603 | 2017-08-16 |
| 1972950327 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 354 N. Prince Street, Suite 120, Lancaster, PA 17603 | 2016-05-16 |
| 1366804833 | Yesenia Colon Rivera | Psychologist | 812 North Prince St., Lancaster, PA 17603 | 2016-03-24 |
| 1073975959 | Laura Morse | Counselor | 48 N Queen St, Lancaster, PA 17603 | 2016-03-22 |
| Find all providers in zip 17603 | ||||
| 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 |
|---|---|---|---|---|
| 1619580693 | Erica Jayne Mack | Family Medicine | 542 W Mulberry St, Lancaster, OH 43130-2907 | 2020-08-28 |
| 1134732753 | Ovp Health Care, Inc. | Family Medicine | 101 S Catawba St, Lancaster, SC 29720-2411 | 2020-08-24 |
| 1477174027 | Omnis Medical Group | Family Medicine | 401 North Ewing Street, Lancaster, OH 43130 | 2020-05-05 |
| 1134765456 | Lancaster General Medical Group | Family Medicine | 100 N Queen St Ste 200, Lancaster, PA 17603-3550 | 2019-11-21 |
| 1578116927 | Pamela Joann Jacobs | Family Medicine | 77 Westwood Rd, Lancaster, NY 14086-9522 | 2019-07-23 |
| 1730642786 | Covenantmd, LLC | Family Medicine | 930 Red Rose Ct Ste 104, Lancaster, PA 17601-1981 | 2019-04-08 |
| 1720542244 | Bryan C Benefiel, M.d. Inc. | Family Medicine | 44725 10th St W Ste 290, Lancaster, CA 93534-3049 | 2019-01-29 |
| 1154898179 | Crystal B Clark | Family Medicine | 112 Woodland Drive, Lancaster, SC 29720 | 2018-10-29 |
| 1689167751 | Jacqueline Palmer | Family Medicine | 45465 25th St E Spc 168, Lancaster, CA 93535-2392 | 2018-06-12 |
| 1154851384 | Pinnacle Health Regional Physicians | Family Medicine | 250 College Ave Ste 300, Lancaster, PA 17603-3363 | 2017-06-20 |
| Find all providers in LANCASTER | ||||
Please comment or provide details below to improve the information on LANCASTER GENERAL MEDICAL GROUP.
| 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.