HERITAGE MEDICAL GROUP, LLP (NPI# 1912151143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912151143 |
| Entity Type | Organization |
| Organization Name | HERITAGE MEDICAL GROUP, LLP |
| Other Organization Name | HERITAGE DIAGNOSTIC CENTER |
| Practice Address |
3 Walnut St Suite 100 Lemoyne PA 17043-1168 |
| Mailing Address |
3 Walnut St Suite 206 Lemoyne PA 17043-1168 |
| Practice Telephone | 7177373037 |
| Practice Fax Number | 7179090912 |
| Mailing Telephone | 7177610208 |
| Mailing Fax Number | 7177612023 |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2011-12-12 |
| Authorized Official Name | DR. JOSEPH A. CINCOTTA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7177610208 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Heritage Diagnostic Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760636815 | Heritage Medical Group, LLP | Nurse Practitioner | 4470 Valley Rd, Enola, PA 17025-1443 | 2008-11-14 |
| 1508972175 | Heritage Medical Group, LLP | Internal Medicine | 362 N Broadway Fl 2, Sleepy Hollow, NY 10591-2310 | 2006-08-23 |
| 1831494798 | Heritage Medical Group, LLP | Family Medicine | 40 2nd St, Highspire, PA 17034-1002 | 2011-01-24 |
| 1326368077 | Heritage Medical Group, LLP | Internal Medicine | 3 Walnut St, Suite 205, Lemoyne, PA 17043-1168 | 2010-06-04 |
| 1053550715 | Heritage Medical Group, LLP | Psychiatry & Neurology | 110 Lowther St, Lemoyne, PA 17043-2012 | 2009-02-19 |
| 1831338011 | Heritage Medical Group, LLP | Audiologist | 2025 Technology Pkwy, Suite G-03, Mechanicsburg, PA 17050-9400 | 2009-02-12 |
| 1417101643 | Heritage Medical Group, LLP | Physician Assistant | 845 Sir Thomas Ct, Suite 3, Harrisburg, PA 17109-4840 | 2008-11-14 |
| 1326292558 | Heritage Medical Group, LLP | Clinical Medical Laboratory | 3 Walnut St, Suite 101, Lemoyne, PA 17043-1168 | 2008-11-14 |
| 1649424870 | Heritage Medical Group, LLP | Internal Medicine | 3 Walnut St, Suite 206, Lemoyne, PA 17043-1168 | 2008-11-14 |
| 1972757102 | Heritage Medical Group, LLP | Surgery | 532 N Front St, Wormleysburg, PA 17043-1016 | 2008-11-14 |
| Street Address |
3 WALNUT ST SUITE 100 |
| City | LEMOYNE |
| State | PA |
| Zip Code | 17043-1168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174528533 | Domingo T Alvear | Surgery | 3 Walnut St, Lemoyne, PA 17043-1168 | 2005-06-14 |
| 1164995080 | Donna J Mull | Licensed Practical Nurse | 3 Walnut St, Lemoyne, PA 17043-1168 | 2019-01-03 |
| 1265880678 | Monica Brown-luke | Clinical Nurse Specialist | 3 Walnut St, Suite 100, Lemoyne, PA 17043-1168 | 2016-05-25 |
| 1780045856 | Daniel Chege | Nurse Practitioner | 3 Walnut St, Suite 205, Lemoyne, PA 17043-1168 | 2016-03-16 |
| 1669869129 | Holy Spirit Hospital | Clinic/Center | 3 Walnut St, Lemoyne, PA 17043-1168 | 2015-04-22 |
| 1720479843 | Donald James Dissinger | Nurse Practitioner | 3 Walnut St, Lemoyne, PA 17043-1168 | 2015-02-11 |
| 1891133518 | Pinnacle Health Medical Services | Physician Assistant | 3 Walnut St, Suite 205, Lemoyne, PA 17043-1168 | 2013-06-05 |
| 1639443278 | Pinnacle Health Medical Group Inc | Clinical Medical Laboratory | 3 Walnut St, Suite 101, Lemoyne, PA 17043-1168 | 2012-02-29 |
| 1902170558 | Pinnacle Health Medical Group Inc | Internal Medicine | 3 Walnut St, Suite 206, Lemoyne, PA 17043-1168 | 2012-02-29 |
| 1982977690 | Pinnacle Health Medical Group Inc | Physician Assistant | 3 Walnut St, Suite 205, Lemoyne, PA 17043-1168 | 2012-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821591025 | Verber Dental Group, PC | Dentist | 819 Market Street, Fox Dental, Lemoyne, PA 17043 | 2018-03-14 |
| 1386065209 | Stephanie A Depalmer | Counselor | 20 Erford Rd Ste 101, Lemoyne, PA 17043 | 2013-12-18 |
| 1467662130 | Blanc Counseling Services | Nursing Care | 1017 Mumma Road, Suit 200, Wormleysburg, PA 17043 | 2007-05-23 |
| 1265516546 | Carol A Flory | Social Worker | 20 Erford Road, Suite # 101, Lemoyne, PA 17043 | 2006-10-24 |
| 1881615219 | James D Herbst | Optometrist | 717 Market St., Suite 112, Lemoyne, PA 17043 | 2006-07-21 |
| 1285669341 | Brian Kirby Fogarty | Psychologist | 426 S Third St, Ste 201, Lemoyne, PA 17043 | 2006-07-11 |
| 1316998966 | Conforti Rehabilitation Services, Inc. | Physical Therapist | 110 North 7th Street, Lemoyne, PA 17043 | 2006-05-16 |
| 1780632430 | Thomas E Becker II | Chiropractor | 501 Market St, Lemoyne, PA 17043 | 2006-05-05 |
| 1790756542 | Jack Edward Wilson | Surgery | 3 Walnut St Ste 100, Lemoyne, PA 17043 | 2006-01-30 |
| 1891779088 | Shelby R Sieber | Optometrist | 717 Market Street, Suite 112, Lemoyne, PA 17043 | 2005-12-01 |
| Find all providers in zip 17043 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255976460 | George Vukmer | Radiology | 16889 State Highway 86, Saegertown, PA 16433-6226 | 2019-11-12 |
| 1174088074 | Savvas Andronikou | Radiology | 3401 Civic Center Blvd Dept 3nw41, Philadelphia, PA 19104-4319 | 2019-02-05 |
| 1629411194 | Gary Andrew Dellacerra | Radiology | 132 S 10th St Fl 10, Philadelphia, PA 19107 | 2013-04-15 |
| 1295001188 | Lawrence Chisom Uradu | Radiology | 200 Lothrop St Ste E204, Pittsburgh, PA 15213-2536 | 2012-03-26 |
| 1124320890 | Rosalma Saade | Radiology | 29 Sleepy Hollow Dr, Newtown Square, PA 19073-3929 | 2010-11-30 |
| 1902965452 | Heesun Nina Kim | Radiology | 705 Augusta Dr, Bridgeville, PA 15017-3437 | 2006-12-08 |
| 1467525717 | Montgomery Radiology Associates, PC | Radiology | 705 Old Harrisburg Rd, Gettysburg, PA 17325-3401 | 2006-11-16 |
| 1174628952 | Harold P. Strunk | Radiology | 1013 Regency Cir, Penllyn, PA 19422-1036 | 2006-09-14 |
| 1194836221 | Amy K Lansman | Radiology | 1919 Walnut St, Philadelphia, PA 19103-4609 | 2006-08-31 |
| 1144233859 | Montgomery Radiology Associates, PC | Radiology | 1505 Route 61 Hwy S, Pottsville, PA 17901-8486 | 2006-08-14 |
| Find all providers with the same taxonomy | ||||
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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.