Heron Rock Surgery Center of Lancaster

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

HERON ROCK SURGERY CENTER OF LANCASTER

Practice address

606 Community Way
Lancaster, PA 17603-2329

Phone

(717) 856-2849

NPI assigned

Feb 28, 2024

Last updated

Nov 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth Morgenstern, MDNPI 1427019207

Title

Chief Medical Officer and Ceo

Phone

(610) 687-8771

Specialties & licenses 1

Addresses

Other names 1

• Heron Rock Surgery Center of Lancaster Other name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023875887. Details of each certification follow.

• CCN 39C0001396 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 39C0001396

Legal name

HERON ROCK SURGERY CENTER OF LANCASTER LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

May 1, 2025

Last certification

May 1, 2025

Ownership / control type

Proprietary

Facility address

606 Community Way
Lancaster, PA 17603

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Eli Morgenstern, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Wayne, PA
  • NPI 1427019207
  Medicare reassignment NPD Authorized official
• Abbe Michele Clyde, PA-C

  • Physician Assistant
  • Lancaster, PA
  • NPI 1841547239
  Medicare reassignment NPD
• Michael Timothy Kryshtalskyj, M.D.

  • Ophthalmology Physician
  • Wayne, PA
  • NPI 1720972334
  Medicare reassignment NPD
• Narmien Murdock, MD

  • Ophthalmology Physician
  • Wayne, PA
  • NPI 1033732938
  Medicare reassignment NPD
• Joseph Giacometti, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Scranton, PA
  • NPI 1821232265
  NPD (past)
• Jan Paul Ulloa Padilla, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Guaynabo, PR
  • NPI 1447651096
  NPD (past)

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1023875887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 COMMUNITY WAY",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032329",
            "telephone_number": "717-856-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 COMMUNITY WAY",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032329",
            "telephone_number": "717-856-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERON ROCK SURGERY CENTER OF LANCASTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "MORGENSTERN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER AND CEO",
        "authorized_official_telephone_number": "610-687-8771",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heron Rock Surgery Center of Lancaster",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christian Hermosillo
• David Hernandez, D.O.
• Jon David Hernandez, M.D.
• Robert Nicholas Hernandez, MD
• Kelsey Hernley, PT, DPT
• Rachel Herr-Musselman, DPT
• George Ignatius Herr-Riser, MS
• Ailie Shannon Herr
• Ashley N Herr, LPN
• Kate Lynn Herr, MSW, LSW

• Ambulatory Surgical Clinic/Center in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.