PEQUEA VALLEY INTERNAL MEDICINE, INC. (NPI# 1831253467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831253467 |
| Entity Type | Organization |
| Organization Name | PEQUEA VALLEY INTERNAL MEDICINE, INC. |
| Practice Address |
1725 Oregon Pike Suite 107 B Lancaster PA 17601-4206 |
| Practice Telephone | 7175603505 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-12-28 |
| Authorized Official Name | MS. JESSICA R LACORTE (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 7175603505 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0016560860002 | 05 | |
| PA | BLUESHIELD | 1646737 | 01 |
| PA | CAP BC | 50041137 | 01 |
| PA | RR MCR | DC7495 | 01 |
| Street Address |
1725 OREGON PIKE SUITE 107 B |
| City | LANCASTER |
| State | PA |
| Zip Code | 17601-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508861956 | Ami Charise Milton | Internal Medicine | 1725 Oregon Pike, Ste 107b, Lancaster, PA 17601-4206 | 2005-06-14 |
| 1467935098 | Stephanie Sema | Counselor | 1725 Oregon Pike, Lancaster, PA 17601-4206 | 2018-09-10 |
| 1265938005 | Devin Farley | Counselor | 1725 Oregon Pike, Lancaster, PA 17601-4206 | 2018-04-02 |
| 1326541335 | Sheryl Crowley | Counselor | 1725 Oregon Pike, Lancaster, PA 17601-4206 | 2018-03-15 |
| 1205200441 | Anita Denise Charles | Nurse Practitioner | 1725 Oregon Pike, #100, Lancaster, PA 17601-4206 | 2015-11-28 |
| 1124496211 | Angela Griffith | Counselor | 1725 Oregon Pike, Suite 205b, Lancaster, PA 17601-4206 | 2015-09-08 |
| 1891178802 | Autumn R. Croasmun | Counselor | 1725 Oregon Pike, Suite 205b, Lancaster, PA 17601-4206 | 2015-07-08 |
| 1033522123 | Kacie Ann Stalb | Counselor | 1725 Oregon Pike, Suite 205b, Lancaster, PA 17601-4206 | 2014-06-05 |
| 1932530490 | Janice Lawrence | Counselor | 1725 Oregon Pike, Suite 205b, Lancaster, PA 17601-4206 | 2013-12-10 |
| 1922345735 | Michelle D Hayworth | Counselor | 1725 Oregon Pike, Suite 205b, Lancaster, PA 17601-4206 | 2013-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992333967 | Hummel Foot and Ankle LLC | Podiatrist | 1525 Old Schoolhouse Road, Suite 1201, Lancaster, PA 17601 | 2020-03-27 |
| 1487285508 | United Disabilities Services Foundation | Contractor | 2270 Erin Ct, Lancaster, PA 17601 | 2020-01-28 |
| 1699311522 | Meals On Wheels, Inc | Home Delivered Meals | 1085-b Manheim Pike, Lancaster, PA 17601 | 2019-11-26 |
| 1245711555 | Molly Cates Casey | Nurse Practitioner | 190 N Pointe Blvd Ste 1, Lancaster, PA 17601 | 2018-08-24 |
| 1588142293 | Wegmans Food Markets, Inc. | Pharmacy | 2000 Crossings Blvd, Lancaster, PA 17601 | 2018-08-03 |
| 1942791918 | Linda J Arnold | Registered Nurse | 2645 Valley View Dr, Lancaster, PA 17601 | 2018-05-24 |
| 1003311598 | Nicole Marie Adams | Social Worker | 255 Butler Avenue, Suite 103, Lancaster, PA 17601 | 2018-03-27 |
| 1013418912 | Pinnacle Health Medical Services | Clinic/Center | 1160 Manheim Pike Ste 101, Lancaster, PA 17601 | 2018-02-26 |
| 1962911750 | Keystone Functional Medicine, PC | General Practice | 1689 Crown Ave Ste 5, Lancaster, PA 17601 | 2017-09-25 |
| 1427573302 | Ellen Hoffman | Massage Therapist | 2108 Harrisburg Pike Ste 315, Lancaster, PA 17601 | 2017-08-11 |
| Find all providers in zip 17601 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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|---|---|---|---|---|
| 1386263614 | Gene Thomas Michael | Internal Medicine | 2401 N Columbus St Ste 260, Lancaster, OH 43130-8296 | 2020-04-16 |
| 1184244485 | Imthiaz Mohammed Khan | Internal Medicine | 2405 N Columbus St Ste 260, Lancaster, OH 43130-8100 | 2020-04-16 |
| 1255834974 | Jae Hun Son | Internal Medicine | 1550 Sheridan Dr Ste 203, Lancaster, OH 43130-1380 | 2018-03-09 |
| 1982124129 | Pinnacle Health Regional Physicians | Internal Medicine | 233 College Ave Ste 302, Lancaster, PA 17603-3384 | 2017-06-20 |
| 1518324672 | Xiao Hua Wan Inc | Internal Medicine | 44316 Copper Moon Ln, Lancaster, CA 93536-2481 | 2016-01-20 |
| 1053702233 | Lancaster General Medical Group | Internal Medicine | 690 Good Drive, Women's Outpatient Center 2nd Flr, Lancaster, PA 17601-2433 | 2015-02-10 |
| 1023406451 | Wound Medicine of Central Pennsylvania LLC | Internal Medicine | 127 N Pine St, Lancaster, PA 17603-3432 | 2015-01-08 |
| 1982006003 | Pareshbhai Jivarajbhai Bharodiya | Internal Medicine | 3250 W Pleasant Run Rd Ste 130, Lancaster, TX 75146-1069 | 2014-09-19 |
| 1760725667 | Jonathan Shallcross | Internal Medicine | 555 N Duke St Fl 1, Lancaster, PA 17602-2250 | 2013-03-29 |
| 1093053480 | Sangar P Selva A,m.d.,a Prof.corp. | Internal Medicine | 2594 Still Meadow Ln, Lancaster, CA 93536-5362 | 2013-01-20 |
| 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.