Organization Active NPI

Lancaster Skin Center PC

  • Dermatology Physician
  • Lancaster, PA
National Provider Identifier
1093781783
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
LANCASTER SKIN CENTER PC
Practice address
190 N Pointe Blvd
Ste 1
Lancaster, PA 17601
Phone
(717) 560-6444
Fax
(717) 569-1044
NPI assigned
Feb 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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

Authorized official

Name
Dr. William Karl Andersen, MDNPI 1538135900
Title
President Lancaster Skin Center PC
Phone
(717) 560-6444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

190 N Pointe Blvd
Ste 1
Lancaster, PA 17601

Mailing address

190 N Pointe Blvd
Ste 1
Lancaster, PA 17601
Phone (717) 560-6444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060322000166 PA Part B Supplier - Clinic/Group Practice 8820006513 Receives reassigned benefits from 3 practitioners
Practice locations: Lancaster, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0931167Lancaster Skin Center PC190 North Pointe Boulevard, Lancaster, PA 17601ComplianceAug 12, 2027

National Provider Directory

National Provider Directory

Locations

190 N Pointe Blvd
#1
Lancaster, PA 17601
Phone (717) 560-6444

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10063205

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1093781783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 N POINTE BLVD",
            "address_2": "STE 1",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17601",
            "telephone_number": "717-560-6444",
            "fax_number": "717-569-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 N POINTE BLVD",
            "address_2": "STE 1",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17601",
            "telephone_number": "717-560-6444",
            "fax_number": "717-569-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER SKIN CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "KARL",
        "authorized_official_title_or_position": "PRESIDENT LANCASTER SKIN CENTER PC",
        "authorized_official_telephone_number": "717-560-6444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.