Robert Disantis

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD456809 Issued in PA

Practice address

1700 S Lincoln Ave
Medicine Care Line, BLD 1, 5TH Floor
Lebanon, PA 17042-7529

Phone

(717) 272-6621

NPI assigned

Mar 29, 2011

Last updated

Apr 12, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1043509110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S LINCOLN AVE",
            "address_2": "MEDICINE CARE LINE, BLD 1, 5TH FLOOR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427529",
            "telephone_number": "717-272-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S LINCOLN AVE",
            "address_2": "MEDICINE CARE LINE, BLD 1, 5TH FLOOR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427529",
            "telephone_number": "717-272-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISANTIS",
        "first_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-29",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD456809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Anne Dinger, CRNA
• Nancy S Dingler, CRNP
• Shelly Dinh, OD
• Mark E Dion, DO
• Ellen M Disantis, DPT
• Katey Dissinger
• Ditzler Family Dentistry PC
• Jessica Lynne Ditzler, PTA
• Koren Dixon, FNP-BC
• Michael Tran Doan, RPH

• Internal Medicine Physician in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.