NPIMap

Organization Active NPI

Pinnacle Health Regional Physicians

Doing business as ENT - Head and Neck Surgery of Lanc

  • Otolaryngology Physician
  • Lancaster, PA
National Provider Identifier
1053831297
Registry record updated Jun 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
PINNACLE HEALTH REGIONAL PHYSICIANS
Doing business as
ENT - Head and Neck Surgery of Lanc
Practice address
2160 Noll Dr Ste 200
Lancaster, PA 17603-7608
Phone
(717) 481-8720
Fax
(717) 481-8726
NPI assigned
Jun 20, 2017
Last updated
Jun 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2017

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

Authorized official

Name
Christopher P. Markley
Title
Sr VP, Strat SVCS/Gen Counsel
Phone
(717) 231-8210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU Primary

Addresses

Primary practice location

2160 Noll Dr Ste 200
Lancaster, PA 17603-7608

Mailing address

409 S 2ND St Ste 2F
Harrisburg, PA 17104-1612

Other names 1

  • ENT - Head and Neck Surgery of Lanc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170810001731 PA Part B Supplier - Clinic/Group Practice 7416228358 Receives reassigned benefits from 514 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497916800000",
    "number": "1053831297",
    "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": "2160 NOLL DR STE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176037608",
            "telephone_number": "717-481-8720",
            "fax_number": "717-481-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE HEALTH REGIONAL PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2017-06-20",
        "status": "A",
        "authorized_official_last_name": "MARKLEY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "SR VP, STRAT SVCS/GEN COUNSEL",
        "authorized_official_telephone_number": "717-231-8210"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENT - Head and Neck Surgery of Lanc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ENT - Head and Neck Surgery of Lanc",
            "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 20, 2017; 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.