Lebanon Wellness

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LEBANON WELLNESS

Practice address

245 Bloomfield Dr Ste 210
Lititz, PA 17543-7788

Phone

(717) 297-7900

Fax

(717) 276-7323

NPI assigned

Dec 2, 2025

Organization subpart

Yes

Parent organization

LEBANON WELLNESSAs reported in NPPES

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

Authorized official

Name

Shavkat R Ruziev, MDNPI 1578724308

Title

President

Phone

(717) 297-7900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Lebanon Wellness

  • Internal Medicine Physician
  • Lebanon, PA
  • NPI 1932881489

  O20251001003016

  Same enrollment

Tax ID family

Lebanon Wellness2 organizations share this tax ID, including this one

Part of

Lebanon Wellness

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lebanon Wellness

  • Internal Medicine Physician
  • Lebanon, PA
  • NPI 1932881489
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Lebanon Wellness

  • Internal Medicine Physician
  • Lebanon, PA
  • NPI 1932881489
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shavkat R Ruziev, MD

  • Internal Medicine Physician
  • Harrisburg, PA
  • NPI 1578724308
  NPD Authorized official

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

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1063374601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 ISABEL DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427482",
            "telephone_number": "717-297-7900",
            "fax_number": "717-276-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 BLOOMFIELD DR STE 210",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437788",
            "telephone_number": "717-297-7900",
            "fax_number": "717-276-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBANON WELLNESS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEBANON WELLNESS",
        "enumeration_date": "2025-12-02",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A",
        "authorized_official_last_name": "RUZIEV",
        "authorized_official_first_name": "SHAVKAT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-297-7900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlena Sharea Larson
• Lasting Smiles of Lititz LLC
• Naeem Latif, MD
• Dat Le
• Karisa Janae Le, LCSW
• Ashley Leclair, LAC
• Roseann Lee
• Nicholas Lefevre, DO
• Jonathan Darren Lehman, PA-C
• Leslie B. Miller, O.D., Inc.

• Internal Medicine Physician in Lititz, PA
• Providers in Lititz, 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 Jan 23, 2026; 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.