Active NPI
George J Olt, MD
- Gynecologic Oncology Physician
- Lancaster, PA
National Provider Identifier
1033173752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- MD044370L
- Practice address
- 2102 Harrisburg Pike
Suite 102
Lancaster, PA 17601-2644 - Phone
- (717) 544-0340
- NPI assigned
- Apr 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD044370L | PA | |
| Gynecologic Oncology Physician | 207VX0201X | MD044370L | PA | Primary |
Addresses
Primary practice location
2102 Harrisburg Pike
Suite 102
Lancaster, PA 17601-2644
Mailing address
2102 Harrisburg Pike
Suite 102
Lancaster, PA 17601-2644
Phone (717) 544-0340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012471650006 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Milton S. Hershey Medical Center Physicians Group | Gynecologic Oncology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gynecologic Oncology Physician
- Hershey, PA
- NPI 1285609677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439424000000",
"number": "1033173752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2102 HARRISBURG PIKE",
"address_2": "SUITE 102",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176012644",
"telephone_number": "717-544-0340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2102 HARRISBURG PIKE",
"address_2": "SUITE 102",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176012644",
"telephone_number": "717-544-0340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLT",
"first_name": "GEORGE",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-12",
"last_updated": "2015-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MD044370L",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "PA",
"license": "MD044370L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012471650006",
"state": "PA"
}
],
"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 Aug 13, 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.