Organization Active NPI

Sleep Disorder Associates of Lancaster, Inc

Doing business as Sleep Disorder Associates

  • Internal Medicine Physician
  • Lancaster, PA
National Provider Identifier
1043258841
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS-011844 Issued in PA
Legal business name
SLEEP DISORDER ASSOCIATES OF LANCASTER, INC
Doing business as
Sleep Disorder Associates
Practice address
250 Ranck Ave
Lancaster, PA 17602-2516
Phone
(717) 569-7044
Fax
(717) 431-9684
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Authorized official

Name
Dr. Neil S. Kline, D.O.NPI 1497752166
Title
Ceo
Phone
(717) 569-7044

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X OS-011844 PA Primary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X

Addresses

Primary practice location

250 Ranck Ave
Lancaster, PA 17602-2516

Mailing address

250 Ranck Ave
Lancaster, PA 17602-2516
Phone (717) 569-7044

Other names 1

  • Sleep Disorder Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051103000854 PA Part B Supplier - Clinic/Group Practice 7911925383 Receives reassigned benefits from 1 practitioner
Practice locations: Lancaster, PA

National Provider Directory

National Provider Directory

Locations

255 N 6th St
Columbia, PA 17512
Phone (717) 399-7451

1002 Lititz Pike
Lititz, PA 17543
Phone (267) 304-3333

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": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1043258841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 RANCK AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022516",
            "telephone_number": "717-569-7044",
            "fax_number": "717-431-9684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 RANCK AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022516",
            "telephone_number": "717-569-7044",
            "fax_number": "717-431-9684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP DISORDER ASSOCIATES OF LANCASTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "717-569-7044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS-011844",
            "primary": true
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sleep Disorder Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 15, 2012; 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.