John B. Legere (NPI# 1013951276, PAC ID# 9739120247) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1013951276 |
| PAC ID by PECOS | 9739120247 |
| Professional Enrollment ID | I20110128000327 |
| Full Name | John B. Legere |
| Organization Legal Name | DERMATOLOGY PHYSICIANS, INC. |
| Address |
203 N Lime St Lancaster PA 17602-2729 |
| Phone Number | 7173926267 |
| Gender | M |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 4082651765 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390100 | LANCASTER GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 203 N Lime St, Lancaster, PA 17602-2729 | 7173926267 | DERMATOLOGY PHYSICIANS, INC. |
| Organization Legal Name | DERMATOLOGY PHYSICIANS, INC. |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lesli Worth Mace | Physician Assistant | Dermatology Physicians, Inc. | 1613 Oregon Pike, Lancaster, PA 17601-4335 |
| Ira J Berman | Dermatology | Dermatology Physicians, Inc. | 203 N Lime St, Lancaster, PA 17602-2729 |
| George E Groleau | Dermatology | Dermatology Physicians, Inc. | 203 N Lime St, Lancaster, PA 17602-2729 |
| Richard J Herschaft | Dermatology | Dermatology Physicians, Inc. | 203 N Lime St, Lancaster, PA 17602-2729 |
| Marena N Fares | Physician Assistant | Dermatology Physicians, Inc. | 1613 Oregon Pike, Lancaster, PA 17601-4335 |
| Kimberly A Levin | Pathology | Dermatology Physicians, Inc. | 203 N Lime St, Lancaster, PA 17602-2729 |
| Anthony A Gaspari | Dermatology | Dermatology Physicians, Inc. | 203 N Lime St, Lancaster, PA 17602-2729 |
| Robert L Roschel | Dermatology | Dermatology Physicians, Inc. | 203 N Lime St, Lancaster, PA 17602-2729 |
| Patricia Frances Groleau | Dermatology | Dermatology Physicians, Inc. | 203 N Lime St, Lancaster, PA 17602-2729 |
| Street Address |
203 N LIME ST |
| City | LANCASTER |
| State | PA |
| Zip | 17602-2729 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ira J Berman | Dermatology | Dermatology Physicians, Inc. | 203 N Lime St, Lancaster, PA 17602-2729 |
| George E Groleau | Dermatology | Dermatology Physicians, Inc. | 203 N Lime St, Lancaster, PA 17602-2729 |
| Richard J Herschaft | Dermatology | Dermatology Physicians, Inc. | 203 N Lime St, Lancaster, PA 17602-2729 |
| Kimberly A Levin | Pathology | Dermatology Physicians, Inc. | 203 N Lime St, Lancaster, PA 17602-2729 |
| Anthony A Gaspari | Dermatology | Dermatology Physicians, Inc. | 203 N Lime St, Lancaster, PA 17602-2729 |
| Robert L Roschel | Dermatology | Dermatology Physicians, Inc. | 203 N Lime St, Lancaster, PA 17602-2729 |
| Patricia Frances Groleau | Dermatology | Dermatology Physicians, Inc. | 203 N Lime St, Lancaster, PA 17602-2729 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Louise R Butler | Family Medicine | 2160 Lincoln Hwy E, Suite 1 4a, Lancaster, PA 17602-1150 | |
| David Banz | Physical Therapy | Ati Holdings LLC | 2481 Lincoln Hwy E, Suite 4, Lancaster, PA 17602-1482 |
| Braden C Steffy | Physical Therapy | Ati Holdings LLC | 2481 Lincoln Hwy E, Suite 4, Lancaster, PA 17602-1482 |
| Andrew Russell | Physical Therapy | Ati Holdings LLC | 2481 Lincoln Hwy E, Suite 4, Lancaster, PA 17602-1482 |
| Nicholas Shirel | Physical Therapy | Ati Holdings LLC | 2481 Lincoln Hwy E, Suite 4, Lancaster, PA 17602-1482 |
| Hillary Berry | Physical Therapy | Ati Holdings LLC | 2481 Lincoln Hwy E, Suite 4, Lancaster, PA 17602-1482 |
| Ann Patricia Linnell | Physical Therapy | Ati Holdings LLC | 2481 Lincoln Hwy E, Suite 4, Lancaster, PA 17602-1482 |
| Casey Alexandra Barnett | Physical Therapy | Ati Holdings LLC | 2481 Lincoln Hwy E, Lancaster, PA 17602-1482 |
| Justin Jan Randsdorp | Occupational Therapy | Functional Freedom LLC | 105 Heritage Rd, Lancaster, PA 17602-1597 |
| Kourtney Randsdorp | Occupational Therapy | Functional Freedom LLC | 105 Heritage Rd, Lancaster, PA 17602-1597 |
| Find all physicians in zip 17602 | |||
| City | LANCASTER |
| Zip Code | 17602 |
| Specialty | DERMATOLOGY |
| City + Specialty | LANCASTER + DERMATOLOGY |
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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.