Organization Active NPI

Avalon Primary Care, PC

  • Primary Care Clinic/Center
  • Lancaster, PA
National Provider Identifier
1023670189
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
AVALON PRIMARY CARE, PC
Practice address
2160 Lincoln Hwy E Ste 1-A4
Lancaster, PA 17602-1150
Phone
(717) 899-8113
Fax
(717) 617-2476
NPI assigned
Jun 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Authorized official

Name
Dr. Louise Ruth Butler, DONPI 1548201700
Title
Owner/Physician
Phone
(717) 899-8113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2160 Lincoln Hwy E Ste 1-A4
Lancaster, PA 17602-1150

Mailing address

2160 Lincoln Hwy E Ste 1-A4
Lancaster, PA 17602-1150
Phone (717) 899-8113

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address doctorb@avalonpc.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190812003712 PA Part B Supplier - Clinic/Group Practice 7012244189 Receives reassigned benefits from 1 practitioner
Practice locations: Lancaster, PA

National Provider Directory

National Provider Directory

Locations

2160 Lincoln Hwy E
Ste 1A4
Lancaster, PA 17602
Phone (717) 899-8113

2160 Lincoln Hwy E
Lancaster, PA 17602
Phone (717) 291-5959

2160 Lincoln Hwy E
Ste 14A
Lancaster, PA 17602
Phone (717) 899-8113

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561680000000",
    "number": "1023670189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 LINCOLN HWY E STE 1-A4",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176021150",
            "telephone_number": "717-899-8113",
            "fax_number": "717-617-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 LINCOLN HWY E STE 1-A4",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176021150",
            "telephone_number": "717-899-8113",
            "fax_number": "717-617-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON PRIMARY CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-06-28",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "717-899-8113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "doctorb@avalonpc.org",
            "affiliation": "N",
            "endpointDescription": "Physician secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2160 Lincoln Hwy E Ste 1-A4",
            "city": "Lancaster",
            "state": "PA",
            "country_code": "US",
            "postal_code": "176021150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.