NPIMap

Organization Active NPI

Northern Lancaster County Medical Group

  • Internal Medicine Physician
  • Ephrata, PA
National Provider Identifier
1053329979
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NORTHERN LANCASTER COUNTY MEDICAL GROUP
Practice address
808 Pleasantview Dr
Ephrata, PA 17522-1644
Phone
(717) 733-6518
Fax
(717) 733-8613
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Authorized official

Name
Cynthia Malizia
Title
VP Northern Lanc Co Medical Group
Phone
(717) 738-2280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

808 Pleasantview Dr
Ephrata, PA 17522-1644

Mailing address

PO Box 398
Brownstown, PA 17508-0398
Phone (717) 859-2038

Other identifiers 3

IdentifierTypeStateIssuer
1013977730015MedicaidPA
1746271OtherPABLUE SHIELD
DD6938OtherPARAILROAD MEDICARE

Other names 1

  • Internal Medicine Associates of Ephrata Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1053329979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398",
            "city": "BROWNSTOWN",
            "state": "PA",
            "postal_code": "175080398",
            "telephone_number": "717-859-2038",
            "fax_number": "717-859-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 PLEASANTVIEW DR",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221644",
            "telephone_number": "717-733-6518",
            "fax_number": "717-733-8613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN LANCASTER COUNTY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "MALIZIA",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "VP NORTHERN LANC CO MEDICAL GROUP",
        "authorized_official_telephone_number": "717-738-2280"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013977730015",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1746271",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD6938",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine Associates of Ephrata",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ephrata, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.