LANCASTER MEDICAL GROUP, LLC (NPI# 1790160901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790160901 |
| Entity Type | Organization |
| Organization Name | LANCASTER MEDICAL GROUP, LLC |
| Other Organization Name | MARK W. EVANS, DPM |
| Practice Address |
90 Good Dr Ste 101 Lancaster PA 17603-4360 |
| Practice Telephone | 7172993020 |
| Mailing Telephone | 7172993020 |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |
| Authorized Official Name | DENNIS HERTZ (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 7172918078 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Mark W. Evans, DPM | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720463938 | Lancaster Medical Group, LLC | Pain Medicine | 233 College Ave Ste 101, Lancaster, PA 17603-3385 | 2015-07-29 |
| 1285019497 | Lancaster Medical Group, LLC | Internal Medicine | 233 College Ave Ste 201, Lancaster, PA 17603-3384 | 2015-07-29 |
| 1639554850 | Lancaster Medical Group, LLC | Surgery | 233 College Ave Ste 203, Lancaster, PA 17603-3385 | 2015-07-29 |
| 1811372022 | Lancaster Medical Group, LLC | Internal Medicine | 1725 Oregon Pike Ste 107, Lancaster, PA 17601-4206 | 2015-07-29 |
| 1932584141 | Lancaster Medical Group, LLC | Surgery | 1575 Highlands Dr Ste 201, Lititz, PA 17543-7507 | 2015-07-29 |
| 1508241845 | Lancaster Medical Group, LLC | Family Medicine | 960 E Main St, Mount Joy, PA 17552-9320 | 2015-07-28 |
| 1679958912 | Lancaster Medical Group, LLC | Internal Medicine | 1575 Highlands Dr Ste 205, Lititz, PA 17543-7507 | 2015-07-28 |
| 1386029593 | Lancaster Medical Group, LLC | Otolaryngology | 2160 Noll Dr Ste 200, Lancaster, PA 17603-7608 | 2015-07-29 |
| 1487039699 | Lancaster Medical Group, LLC | Surgery | 330 N Arch St, Lancaster, PA 17603-2929 | 2015-07-29 |
| 1699150805 | Lancaster Medical Group, LLC | Obstetrics & Gynecology | 1575 Highlands Dr Ste 101, Lititz, PA 17543-7507 | 2015-07-29 |
| Street Address |
90 GOOD DR STE 101 |
| City | LANCASTER |
| State | PA |
| Zip Code | 17603-4360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144740440 | Pinnacle Health Regional Physicians | Surgery | 90 Good Dr Ste 101, Lancaster, PA 17603-4360 | 2017-06-27 |
| 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 | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639484991 | Astrid Avis | Podiatrist | 45 E Orange St, Lower Level, Lancaster, PA 17602-5123 | 2010-08-11 |
| 1487832119 | Lancaster Depew Podiatry Grp | Podiatrist | 5429 Broadway St, Lancaster, NY 14086-2123 | 2008-02-05 |
| 1003097569 | Peter C Smith Dpm | Podiatrist | 300 Granite Run Dr, Suite 160, Lancaster, PA 17601-6806 | 2007-11-26 |
| 1134317555 | Mj6 Enterprises | Podiatrist | 996 E Orange St, Lancaster, PA 17602-3214 | 2007-10-10 |
| 1891846218 | Robert Joseph Rudewicz | Podiatrist | 5429 Broadway, Lancaster, NY 14086-2123 | 2007-01-13 |
| 1831260934 | Steven A Jacobs | Podiatrist | 11 E Walnut St, Lancaster, PA 17602-4923 | 2006-11-11 |
| 1679663074 | Lawrence H Rosen | Podiatrist | 24 E Mcgovern Ave, Lancaster, PA 17602-1923 | 2006-10-14 |
| 1245326271 | Andrew J Heller | Podiatrist | 1505 W Ave J, # 203, Lancaster, CA 93534 | 2006-10-05 |
| 1518930817 | Brandon Scot Percival | Podiatrist | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2006-02-08 |
| 1245201789 | Marilyn C Henderson | Podiatrist | 882 Millersville Rd, Lancaster, PA 17603-6154 | 2006-02-01 |
| 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.