LANCASTER GENERAL MEDICAL GROUP (NPI# 1740255124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740255124 |
| Entity Type | Organization |
| Organization Name | LANCASTER GENERAL MEDICAL GROUP |
| Other Organization Name | PENN MEDICINE LGHP FAMILY MEDICINE SUSQUEHANNA |
| Practice Address |
1159 River Rd Marietta PA 17547-1628 |
| Practice Telephone | 7174261131 |
| Practice Fax Number | 7174262068 |
| Mailing Telephone | 7174261131 |
| Mailing Fax Number | 7174262068 |
| Enumeration Date | 2006-02-21 |
| 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 |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CAPITAL BLUE CROSS | 02364600 | 01 |
| PA | HIGHMARK BLUE SHIELD | 430843 | 01 |
| PA | AETNA HMO | 535947 | 01 |
| PA | AETNA CAP OFFICE# | 5761 | 01 |
| PA | RAILROAD MEDICARE | CN7614 | 01 |
| PA | AETNA NON-HMO | 5026097 | 01 |
| PA | 1007327490088 | 05 | |
| PA | GEISINGER HEALTH PLAN | S1QK | 01 |
| PA | GATEWAY HEALTH PLAN | 1019796 | 01 |
| Other Name | Type Code |
|---|---|
| LGHP/Penn Medicine Family Medicine Susquehanna | Doing Business As Name - Organization |
| Penn Medicine LGHP Family Medicine Susquehanna | 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 |
1159 RIVER RD |
| City | MARIETTA |
| State | PA |
| Zip Code | 17547-1628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932185501 | Nelson R Lehman | Family Medicine | 1159 River Rd, Marietta, PA 17547-1628 | 2005-12-15 |
| 1912355884 | Amber Leed | Nurse Practitioner | 1159 River Rd, Marietta, PA 17547-1628 | 2016-06-01 |
| 1316369135 | Stephanie Erin Wile | Nurse Practitioner | 1159 River Rd, Marietta, PA 17547-1628 | 2014-01-14 |
| 1942434865 | Caroline Reist Buckwalter | Physician Assistant | 1159 River Rd, Marietta, PA 17547-1628 | 2009-05-06 |
| 1235381211 | Brian O Wenger | Counselor | 1159 River Rd, Marietta, PA 17547-1628 | 2008-10-21 |
| 1639336167 | Richard L Grunden | Family Medicine | 1159 River Rd, Marietta, PA 17547-1628 | 2008-05-21 |
| 1205044203 | Kieth J Stewart | Dentist | 1159 River Rd, Marietta, PA 17547-1628 | 2007-05-21 |
| 1962488916 | Gerald E Miller | Family Medicine | 1159 River Rd, Marietta, PA 17547-1628 | 2005-12-21 |
| 1053397489 | Mona M Jhaveri | Internal Medicine | 1159 River Rd, Marietta, PA 17547-1628 | 2005-12-18 |
| 1205812880 | Robert H Brewer | Family Medicine | 1159 River Rd, Marietta, PA 17547-1628 | 2005-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609319698 | Parag Patel | Pharmacist | 95 Fuhrman Road, Marietta, PA 17547 | 2016-11-23 |
| 1225585342 | Hilda Colon | Massage Therapist | 41 West Market Street, Marietta, PA 17547 | 2016-09-07 |
| 1205174349 | Keith Foundling | Physical Therapy Assistant | 45 Chelmsford Dr, Marietta, PA 17547 | 2013-01-24 |
| 1629050257 | Stephen K Rittenhouse | Family Medicine | 1159 River Road, Marietta, PA 17547 | 2005-11-18 |
| 1578040416 | Jennifer Lynn Frye | Midwife | 106 W Walnut St, Marietta, PA 17547-1311 | 2018-07-24 |
| 1871578971 | Eric Scott Brecher | Radiology | 241 W Market St, Marietta, PA 17547-1413 | 2005-12-12 |
| 1235375858 | Susquehanna Acupuncture and Healing Arts Center | Acupuncturist | 44 W Market St, Marietta, PA 17547-1424 | 2009-01-02 |
| 1679692024 | Joseph A Lavine | Acupuncturist | 44 W Market St, Marietta, PA 17547-1424 | 2007-03-28 |
| 1154668358 | Andrew Michael Miller | Behavioral Analyst | 306 Sable Dr, Marietta, PA 17547-8527 | 2013-01-08 |
| 1437676285 | Jamie Lynn Burg | Speech-Language Pathologist | 310 Amanda Ct, Marietta, PA 17547-9216 | 2017-08-23 |
| Find all providers in zip 17547 | ||||
| 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 |
|---|---|---|---|---|
| 1053885327 | Clinica De La Salud Smyrna, Inc | Family Medicine | 1815 S Cobb Dr Se Ste 101, Marietta, GA 30060-4958 | 2019-01-19 |
| 1033689351 | H&h Weight Loss LLC | Family Medicine | 3600 Dallas Hwy Sw Ste 210, Marietta, GA 30064-1687 | 2018-11-29 |
| 1801380886 | Virginia Hinton | Family Medicine | 1738 Bertram Ln Sw, Marietta, GA 30008-4138 | 2018-06-21 |
| 1285145573 | Mitchell Scott Nudelman | Family Medicine | 577 Seminole Dr Ne, Marietta, GA 30060-1507 | 2017-10-13 |
| 1740649771 | Christine Morris | Family Medicine | 141 Lacy St Nw Ste 100, Marietta, GA 30060-1117 | 2016-02-18 |
| 1891110268 | Edith I. Okoi Chukwunyere | Family Medicine | 2337 Goodwood Dr Sw, Marietta, GA 30064-4335 | 2014-02-21 |
| 1629407549 | Candace M. Walker | Family Medicine | 3707 Largent Way, Well Star West Cobb Family Practice, Marietta, GA 30064 | 2013-11-01 |
| 1982959987 | Norman Glenn Marvin | Family Medicine | 4220 Lower Roswell Rd, Unit #7300, Marietta, GA 30068-4128 | 2012-07-17 |
| 1457626855 | Gena Marie Mastrogianakis | Family Medicine | 3595 Canton Rd Ste 116-289, Marietta, GA 30066-2658 | 2012-03-19 |
| 1710271010 | Roland Ngwang | Family Medicine | 2698 Foxglove Dr Sw, Marietta, GA 30064-4546 | 2011-06-03 |
| Find all providers in MARIETTA | ||||
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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.