LANCASTER GENERAL MEDICAL GROUP (NPI# 1649517236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649517236 |
| Entity Type | Organization |
| Organization Name | LANCASTER GENERAL MEDICAL GROUP |
| Other Organization Name | PENN MEDICINE LGHP FAMILY MEDICINE SYCAMORE SQUARE |
| Practice Address |
99 Masonic Dr Suite 101 Elizabethtown PA 17022-2547 |
| Practice Telephone | 7176894243 |
| Practice Fax Number | 7176891950 |
| Mailing Telephone | 7176894243 |
| Mailing Fax Number | 7176891950 |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2019-11-26 |
| Authorized Official Name | DENISE A KENNEDY (VP FINANCIAL SERVICES) |
| Authorized Official Telephone | 7175445010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| LGHP/Penn Medicine Family Medicine Sycamore Square | Doing Business As Name - Organization |
| Penn Medicine LGHP Family Medicine Sycamore Square | 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 |
| 1922037126 | Lancaster General Medical Group | Family Medicine | 5360 Lincoln Highway East, Store #15, Village At Gap, Gap, PA 17527-9461 | 2006-07-01 |
| 1134164676 | Lancaster General Medical Group | Family Medicine | 1635 West Main Street, Suite 700, Ephrata, PA 17522-1119 | 2006-06-18 |
| Street Address |
99 MASONIC DR SUITE 101 |
| City | ELIZABETHTOWN |
| State | PA |
| Zip Code | 17022-2547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881291961 | Michael Thomas Fox | Pharmacist | 99 Masonic Dr, Elizabethtown, PA 17022-2573 | 2020-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669967162 | William Joseph Borowski | Dentist | 100 Continental Drive, Elizabethtown, PA 17022 | 2018-06-27 |
| 1477042422 | Sarah Marie Altman-kopko | Speech-Language Pathologist | 928 Hedgewyck Ln, Elizabethtown, PA 17022 | 2018-05-05 |
| 1013421676 | Michele Marie Heffner | Counselor | 222 S. Market Street, Suite 104, Elizabethtown, PA 17022 | 2017-11-18 |
| 1003325184 | Caroline Elizabeth Weisser | Physician Assistant | 432 Cloverleaf Road, Elizathebtown, PA 17022 | 2017-09-21 |
| 1710359146 | Carissa Ressler LLC | Massage Therapist | 8 East High Street, Elizabethtown, PA 17022 | 2015-10-26 |
| 1386013092 | Matthew Jacob Hoover | Physical Therapist | 19 Silver Drive, Elizabethtown, PA 17022 | 2015-09-23 |
| 1275913584 | White Family Dental - Masonic Village Pllc | Dentist | 83 North Freemason Dr, Elizabethtown, PA 17022 | 2015-06-02 |
| 1851781801 | Central Pa Therapy Connections, LLC | Speech-Language Pathologist | 36 Creekside Dr., Elizabethtown, PA 17022 | 2015-01-29 |
| 1053719120 | Corrine Mcgrail | Occupational Therapist | 138 Raven Place, Elizabethtown, PA 17022 | 2014-12-05 |
| 1639506843 | Bouquet Mulligan Demaio Eye Professionals | Optometrist | 600 Free Mason Drive, Elizabethtown, PA 17022 | 2013-10-02 |
| Find all providers in zip 17022 | ||||
| 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 |
|---|---|---|---|---|
| 1952929689 | Yasir LLC | Family Medicine | 103 Financial Pl Ste 300, Elizabethtown, KY 42701-4470 | 2020-07-09 |
| 1093360224 | Lancaster General Medical Group | Family Medicine | 432 Cloverleaf Rd, Elizabethtown, PA 17022-9320 | 2019-08-05 |
| 1023546868 | Jahin Patel | Family Medicine | 2411 Ring Rd Ste 114, Elizabethtown, KY 42701-5930 | 2017-05-24 |
| 1568632974 | Susan Marie Leclerc | Family Medicine | 5456 Ridge Rd, Elizabethtown, PA 17022-8621 | 2008-03-03 |
| 1225231665 | Aniqa Baqauddin | Family Medicine | 1329 Amanda Jo Dr, Elizabethtown, KY 42701-2625 | 2007-06-05 |
| 1316020951 | Bernard Damon Greenwell | Family Medicine | 222 West Dixie Avenue, Elizabethtown, KY 42701 | 2006-10-24 |
| 1225127459 | Robert L Rich Jr. | Family Medicine | 300a East Mckay Street, Elizabethtown, NC 28337 | 2006-10-12 |
| 1225133408 | Cottle Medical Group Pa | Family Medicine | 103 S Owen Street, Elizabethtown, NC 28337 | 2006-09-13 |
| 1104832310 | Samuel Phillip Pike | Family Medicine | 100 Helmwood Plaza Drive, Elizabethtown, KY 42701 | 2006-07-31 |
| 1902848948 | Patrick E Gilhool | Family Medicine | 300 Maytown Rd, Elizabethtown, PA 17022 | 2006-06-12 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 17022 |
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.