Active NPI
Lancaster General Medical Group
- Clinic/Center
- Parkesburg, PA
National Provider Identifier
1063743870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- LANCASTER GENERAL MEDICAL GROUP
- Practice address
- 100 Commons Dr
Parkesburg, PA 19365-2150 - Phone
- (610) 857-3114
- Fax
- (610) 857-3394
- NPI assigned
- Jan 18, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Denise Kennedy
- Title
- VP Financial Services
- Phone
- (717) 544-5010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
100 Commons Dr
Parkesburg, PA 19365-2150
Mailing address
100 Commons Dr
Parkesburg, PA 19365-2150
Phone (610) 857-3114
Other names 1
- Lancaster General Health Express - Parkesburg
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040309000916 | PA | Part B Supplier - Clinic/Group Practice | 0941103683 |
Receives reassigned benefits from 886 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Nurse Practitioner
- Lititz, PA
- NPI 1780651364
-
- Psychiatry Physician
- Lancaster, PA
- NPI 1104038397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669593600000",
"number": "1063743870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 COMMONS DR",
"city": "PARKESBURG",
"state": "PA",
"postal_code": "193652150",
"telephone_number": "610-857-3114",
"fax_number": "610-857-3394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 COMMONS DR",
"city": "PARKESBURG",
"state": "PA",
"postal_code": "193652150",
"telephone_number": "610-857-3114",
"fax_number": "610-857-3394"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANCASTER GENERAL MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-18",
"last_updated": "2022-11-28",
"certification_date": "2022-11-28",
"status": "A",
"authorized_official_last_name": "KENNEDY",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "VP FINANCIAL SERVICES",
"authorized_official_telephone_number": "717-544-5010"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lancaster General Health Express - Parkesburg",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Lancaster General Health Express - Parkesburg",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Parkesburg, PA
- Steven J Kattler, DPM
- Tracey Latimore Kenworthy, PHD
- Keystone Valley Fire Department
- Lancaster General Hospital (Parkesburg Outpatient Center)
- Lancaster General Hospital (Lancaster General Health Physicians Trauma & Acute Care Surgery)
- Lancaster General Medical Group (Penn Medicine LGHP Podiatry)
- Lancaster General Medical Group (Penn Medicine LGHP Urgent Care Parkesburg)
- Lancaster General Medical Group (Penn Medicine LGHP Family Medicine Parkesburg)
- Lantern Counseling, LLC
- Longenecker Pharmacy Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.