Individual provider Active NPI

Ernest Y. Normington III, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Lewisburg, PA
National Provider Identifier
1093708372
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
DS017219L Issued in PA
Practice address
135 Walter Drive
Lewisburg, PA 17837-9367
Phone
(570) 524-7777
Fax
(570) 523-9165
NPI assigned
Aug 23, 2005
Reactivated
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X DS017219L PA Primary

Addresses

Primary practice location

135 Walter Drive
Lewisburg, PA 17837-9367

Mailing address

135 Walter Drive
Lewisburg, PA 17837-9367
Phone (570) 524-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040408000624 PA Practitioner - Plastic and Reconstructive SurgeryPractitioner - Dermatology 5496748972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Dermatology
Education
Hahnemann University College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lewisburg Plastic Surgery and Laser CenterGroup PAC ID 3072507326, 3 clinicians

Practice addresses (Care Compare)

135 Walter Dr
Lewisburg, PA 17837-7411
Phone (570) 524-7777

Hospital & facility affiliations

  • Wellspan Evangelical Community Hospital Hospital, Lewisburg, PA, CCN 390013

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision71
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DS017219LPAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lewisburg Plastic Surgery and Laser Center CurrentSince Jan 1, 2004 Accepting new patients

Locations

210 Jpm Rd
Ste 200
Lewisburg, PA 17837
Phone (570) 524-7777

135 Walter Dr
Lewisburg, PA 17837
Phone (570) 524-7777

Interoperability endpoints

  • Direct secure messaging: enormington@directaddress.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292371200000",
    "number": "1093708372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 WALTER DRIVE",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379367",
            "telephone_number": "570-524-7777",
            "fax_number": "570-523-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 WALTER DRIVE",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379367",
            "telephone_number": "570-524-7777",
            "fax_number": "570-523-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMINGTON",
        "first_name": "ERNEST",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2010-12-15",
        "deactivation_date": "2006-03-27",
        "reactivation_date": "2006-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "PA",
            "license": "DS017219L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, PA

Sources for this page

Verify at the official NPI Registry.