Organization Active NPI

Wound Medicine of Central Pennsylvania LLC

  • Internal Medicine Physician
  • Lancaster, PA
National Provider Identifier
1023406451
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WOUND MEDICINE OF CENTRAL PENNSYLVANIA LLC
Practice address
127 N Pine St
Lancaster, PA 17603-3432
Phone
(631) 828-4920
NPI assigned
Jan 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joellen Gately
Title
Acct MGR
Phone
(631) 828-4920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

127 N Pine St
Lancaster, PA 17603-3432

Mailing address

127 N Pine St
Lancaster, PA 17603-3432
Phone (631) 828-4920

National Provider Directory

National Provider Directory

Locations

2025 Technology Pkwy
Mechanicsburg, PA 17050
Phone (717) 791-2440

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1023406451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 N PINE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033432",
            "telephone_number": "631-828-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N PINE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033432",
            "telephone_number": "631-828-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND MEDICINE OF CENTRAL PENNSYLVANIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "GATELY",
        "authorized_official_first_name": "JOELLEN",
        "authorized_official_title_or_position": "ACCT MGR",
        "authorized_official_telephone_number": "631-828-4920"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.