NPIMap

Organization Active NPI

Lebanon Imaging Associates, PC

  • Diagnostic Radiology Physician
  • Lebanon, PA
National Provider Identifier
1053345652
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
LEBANON IMAGING ASSOCIATES, PC
Practice address
Fourth and Walnut Streets
Attn: Radiology Department
Lebanon, PA 17042
Phone
(717) 270-7645
Fax
(717) 270-7639
NPI assigned
Jul 10, 2006
Last updated
Mar 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Authorized official

Name
Stephen Whitmoyer, M.D.NPI 1720033954
Title
Chairman
Phone
(717) 270-7645

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X NU
Neuroradiology Physician 2085N0700X NU
Nuclear Radiology Physician 2085N0904X NU
Diagnostic Radiology Physician 2085R0202X NU Primary
Vascular & Interventional Radiology Physician 2085R0204X NU
Diagnostic Ultrasound Physician 2085U0001X NU

Addresses

Primary practice location

Fourth and Walnut Streets
Attn: Radiology Department
Lebanon, PA 17042

Mailing address

PO Box 347358
Pittsburgh, PA 15251-4358
Phone (717) 270-7645

Other identifiers 1

IdentifierTypeStateIssuer
1012196280001MedicaidPA

National Provider Directory

National Provider Directory

Locations

711 S 8th St
Lebanon, PA 17042
Phone (717) 272-2252

805 Helen Dr
Lebanon, PA 17042
Phone (717) 228-2600

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1053345652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 347358",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152514358",
            "telephone_number": "717-270-7645",
            "fax_number": "717-270-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FOURTH AND WALNUT STREETS",
            "address_2": "ATTN: RADIOLOGY DEPARTMENT",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "17042",
            "telephone_number": "717-270-7645",
            "fax_number": "717-270-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBANON IMAGING ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "WHITMOYER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "717-270-7645",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012196280001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.