LANCASTER GENERAL HOSPITAL (NPI# 1760577555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760577555 |
| Entity Type | Organization |
| Organization Name | LANCASTER GENERAL HOSPITAL |
| Other Organization Name | JAMES STREET FAMILY MEDICINE |
| Practice Address |
555 N. Duke St. Lancaster PA 17602 |
| Mailing Address |
555 N. Duke St. Po Box 3555 Lancaster PA 17602 |
| Practice Telephone | 7175444950 |
| Practice Fax Number | 7175444149 |
| Mailing Telephone | 7175444950 |
| Mailing Fax Number | 7175444149 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-12-04 |
| Authorized Official Name | FRANK J BYORICK (CFO) |
| Authorized Official Telephone | 7175445511 |
| Is Organization Subpart | Y |
| Parent Organization Name | LANCASTER GENERAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MERCY GROUP # | 100338 | 01 |
| PA | 100771175 0005 | 05 | |
| PA | HIGHMARK GROUP# | 1369108 | 01 |
| PA | UNISON - HBP GRP# | 000000134934 | 01 |
| PA | AMERIHEALTH 65 | 2061158001 | 01 |
| PA | UNISON GROUP# | 000000127890 | 01 |
| PA | CBC GROUP# | 50055923 | 01 |
| PA | HEALTH AMERICA | 172421 | 01 |
| PA | GATEWAY GROUP# | 1518324 | 01 |
| PA | KEYSTONE MERCY | 30025858 | 01 |
| Other Name | Type Code |
|---|---|
| James Street Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497014062 | Lancaster General Hospital | Pediatrics | 2110 Harrisburg Pike Ste 315, Lancaster, PA 17601-2644 | 2012-05-16 |
| 1104070325 | Lancaster General Hospital | Pediatrics | 628 N Duke St, Lancaster, PA 17602-2210 | 2008-11-14 |
| 1619023124 | Lancaster General Hospital | Family Medicine | 212 Willow Valley Lakes Dr, Willow Street, PA 17584-9668 | 2007-01-26 |
| 1154417855 | Lancaster General Hospital | Psychologist | 317 S. Chestnut St., Lancaster, PA 17566-8635 | 2006-10-04 |
| 1023658465 | Lancaster General Hospital | Health Educator | 536 N Duke St, Lancaster, PA 17602-2208 | 2020-01-14 |
| 1699202671 | Lancaster General Hospital | Pain Medicine | 2100 Harrisburg Pike, Lancaster, PA 17601-2644 | 2017-05-22 |
| 1720430812 | Lancaster General Hospital | Radiology | 2100 Harrisburg Pike, Lancaster, PA 17601-2644 | 2016-07-13 |
| 1124493168 | Lancaster General Hospital | Surgery | 2102 Harrisburg Pike, Lancaster, PA 17601-2644 | 2015-12-02 |
| 1629469747 | Lancaster General Hospital | Urology | 690 Good Dr, Lancaster, PA 17601-2433 | 2015-02-11 |
| 1619371812 | Lancaster General Hospital | Surgery | 950 S Octorara Trl, Parkesburg, PA 19365-2100 | 2014-10-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LANCASTER GENERAL HOSPITAL, THE | 850 Greenfield Rd, Lancaster, PA 17601-5871 |
| Street Address |
555 N. DUKE ST. |
| City | LANCASTER |
| State | PA |
| Zip Code | 17602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003892167 | Julia Darlene Fuller | Nurse Anesthetist, Certified Registered | 555 N. Duke St., Lancaster, PA 17604 | 2005-12-21 |
| 1962629436 | Dennis L Leed | Physician Assistant | 555 N. Duke St., Lancaster, PA 17604-0000 | 2007-04-19 |
| 1821061896 | Christopher Anthony | Spec/Tech, Pathology | 555 N. Duke St., Lancaster, PA 17604 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313173 | Taylor Giambrone | Registered Nurse | Lgh Nurse Family Partnership, 555 North Duke Street, Lancaster, PA 17602 | 2020-10-12 |
| 1982268843 | Blanche Nichole Breznak | Pharmacist | 201 East Chestnut St, Lancaster, PA 17602 | 2019-04-25 |
| 1285104851 | Stephanie Benedict | Pharmacist | 1603 Lincoln Highway East, Lancaster, PA 17602 | 2018-11-27 |
| 1043709835 | Deborah J Campos-bard, Lmt | Massage Therapist | 439 N. Duke St. 2nd Fl., 2, Lancaster, PA 17602 | 2018-05-07 |
| 1861989493 | Functional Freedom LLC | Occupational Therapist | 105 Heritage Rd., Lancaster, PA 17602 | 2018-04-19 |
| 1083094577 | Gracie Berry | Counselor | 413 Church St, Lancaster, PA 17602 | 2015-06-01 |
| 1366835597 | Holcomb Associates, Inc. | Community/Behavioral Health | 800 New Holland Avenue, Lancaster, PA 17602 | 2015-03-12 |
| 1205236965 | Maria Taylor | Physician Assistant | 555 N Duke Street, Lghp Hospitalists, Lancaster, PA 17602 | 2014-09-01 |
| 1114355104 | Charles Eugene Stream | Physician Assistant | 133 East Fredeick Street, Lancaster, PA 17602 | 2013-10-29 |
| 1710221668 | Kourtney Randsdorp | Occupational Therapist | 105 Heritage Rd, Lancaster, PA 17602 | 2012-11-15 |
| Find all providers in zip 17602 | ||||
| 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 | ||||
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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.