Staci Johnston (NPI# 1104391044, PAC ID# 4082959655) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1104391044 |
| PAC ID by PECOS | 4082959655 |
| Professional Enrollment ID | I20181231001341 |
| Full Name | Staci Johnston |
| Organization Legal Name | LANCASTER GENERAL HOSPITAL |
| Address |
2102 Harrisburg Pike Lancaster PA 17601-2644 |
| Phone Number | 7145444995 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1254240039 |
| Number of Group Practice Members | 334 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390100 | LANCASTER GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2102 Harrisburg Pike, Lancaster, PA 17601-2644 | 7145444995 | LANCASTER GENERAL HOSPITAL |
| 540 N Duke St, Suite 110 Penn Med L G H Physicians Cardiothoracic, Lancaster, PA 17602-2374 | 7175444995 | LANCASTER GENERAL HOSPITAL |
| Organization Legal Name | LANCASTER GENERAL HOSPITAL |
| Physicians | 319 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elyse N Goveia | Family Medicine | Lancaster General Hospital | 212 Willow Valley Lakes Dr, Suite 101 Lghp Penn Medicine Geriatrics, Willow Street, PA 17584-9674 |
| Heather Elaine Leonard | Nurse Practitioner | Lancaster General Hospital | 317 W Chestnut St, Quarryville, PA 17566-1344 |
| Melinda J Kottcamp | Nurse Practitioner | Lancaster General Hospital | 540 N Duke St 3rd Floor, Lancaster Gen Hlth Phys Penn Medc Fam Downtown, Lancaster, PA 17602-2374 |
| Scott D Plensdorf | Family Medicine | Lancaster General Hospital | 555 N Duke St Fl 1, Penn Medicine Lancaster General Health Care Connec, Lancaster, PA 17602-2250 |
| Ashley N Draper | Nurse Practitioner | Lancaster General Hospital | 555 N Duke St, Lancaster, PA 17602-2250 |
| Laura B Boll | Nurse Practitioner | Lancaster General Hospital | 51 Peters Rd, Suite 201, Lititz, PA 17543-7685 |
| Teresa M Gallagher | Nurse Practitioner | Lancaster General Hospital | 2112 Harrisburg Pike, Suite 312, Lancaster, PA 17601-2644 |
| Heather L Sholtis | Obstetrics/gynecology | Lancaster General Hospital | 950 S Octorara Trail, Parkesburg, PA 19365-2100 |
| Beverley E Gabriel | Geriatric Medicine | Lancaster General Hospital | 1001 E Oregon Rd, Lancaster Gen Hlth Phys Penn Medc Geriatrics, Lititz, PA 17543-9205 |
| Tony T Ton-that | Physical Medicine and Rehabilitation | Lancaster General Hospital | 2100 Harrisburg Pike, Lancaster, PA 17601-2644 |
| Street Address |
2102 HARRISBURG PIKE |
| City | LANCASTER |
| State | PA |
| Zip | 17601-2644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly F Bonneville | Physician Assistant | Lancaster General Hospital | 2102 Harrisburg Pike, Lancaster, PA 17601-2644 |
| Ruth Wagner | Hospice/palliative Care | Lancaster General Hospital | 2102 Harrisburg Pike, Lancaster, PA 17601-2644 |
| David J Cziperle | Thoracic Surgery | Lancaster General Hospital | 2102 Harrisburg Pike, Lancaster, PA 17601-2644 |
| Randall Oyer | Medical Oncology | Lancaster General Medical Group | 2102 Harrisburg Pike, Lancaster, PA 17601-2644 |
| Jennifer M Worth | Cardiac Surgery | Lancaster General Hospital | 2102 Harrisburg Pike, Lancaster, PA 17601-2644 |
| Kelly A Hikes | Physician Assistant | Lancaster General Hospital | 2102 Harrisburg Pike, Lancaster, PA 17601-2644 |
| Robert E Roses | General Surgery | Lancaster General Hospital | 2102 Harrisburg Pike, Lancaster, PA 17601-2644 |
| Caitlin M Brown | Nurse Practitioner | Lancaster General Hospital | 2102 Harrisburg Pike, Lancaster, PA 17601-2644 |
| James A Probolus | Hospice/palliative Care | Lancaster General Hospital | 2102 Harrisburg Pike, Lancaster, PA 17601-2644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Franklin D Deguzman | Psychiatry | Teamcare Behavioral Health, LLC | 1808 Colonial Village Lane, Suite 103, Lancaster, PA 17601 |
| Lizabeth Potter | Psychiatry | Teamcare Behavioral Health, LLC | 1808 Colonial Village Lane, Suite 103, Lancaster, PA 17601 |
| Theresa A Baker | Clinical Social Worker | Teamcare Behavioral Health, LLC | 1808 Colonial Village Lane, Suite 103, Lancaster, PA 17601 |
| Karen Mcclure-snodgrass | Clinical Psychologist | Teamcare Behavioral Health, LLC | 1808 Colonial Village Lane, Suite 103, Lancaster, PA 17601 |
| James Kethledge Fugate Jr. | Pediatric Medicine | Penn State Health Community Medical Group, LLC | 3045 Marietta Ave, Lancaster, PA 17601-1321 |
| Spage Yee | Ophthalmology | 330 Centerville Rd, Lancaster, PA 17601-1326 | |
| Rustin Warren Glass | Chiropractic | 900 Centerville Rd, Suite B, Lancaster, PA 17601-1487 | |
| Kayla Wirth | Physician Assistant | Allergy and Asthma Center PC | 2445 Marietta Ave, Lancaster, PA 17601-1942 |
| Robin L Rochow | Physician Assistant | Allergy and Asthma Center PC | 2445 Marietta Ave, Lancaster, PA 17601-1942 |
| Stephen Daniel Lockey Iii | Allergy/immunology | Allergy and Asthma Center PC | 2445 Marietta Ave, Lancaster, PA 17601-1942 |
| Find all physicians in zip 17601 | |||
| City | LANCASTER |
| Zip Code | 17601 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LANCASTER + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.