Active NPI
George T Eckenrode, CNM
- Advanced Practice Midwife
- Lititz, PA
National Provider Identifier
1043280969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- MW008165L
- Practice address
- 1575 Highlands Dr
Suite 101
Lititz, PA 17543-7507 - Phone
- (717) 393-1338
- Fax
- (717) 627-1817
- NPI assigned
- Jan 24, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | MW008165L | PA | Primary |
Addresses
Primary practice location
1575 Highlands Dr
Suite 101
Lititz, PA 17543-7507
Mailing address
409 S 2ND St Ste 2F
Harrisburg, PA 17104-1612
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001442535 | 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
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MW008165L | PA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OB-GYN of Lancaster, Inc Adv Nursing Prov | Advanced Practice Midwife | Past | Accepting new patients |
| Central Pennsylvania Obstetrics Gynecology Inc | Past | Accepting new patients | |
| OB-GYN of Lancaster Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Camphill, PA
- NPI 1396778080
-
- Obstetrics & Gynecology Physician
- Lancaster, PA
- NPI 1699734210
-
- Advanced Practice Midwife
- Lancaster, PA
- NPI 1841472859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515369600000",
"number": "1043280969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 S 2ND ST STE 2F",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 HIGHLANDS DR",
"address_2": "SUITE 101",
"city": "LITITZ",
"state": "PA",
"postal_code": "175437507",
"telephone_number": "717-393-1338",
"fax_number": "717-627-1817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKENRODE",
"first_name": "GEORGE",
"middle_name": "T",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2018-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "PA",
"license": "MW008165L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001442535",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lititz, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.