NPIMap

Organization Active NPI

LMG Family Practice PC

  • Family Medicine Physician
  • Lansdale, PA
National Provider Identifier
1114971553
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LMG FAMILY PRACTICE PC
Practice address
1019 S Broad St
Lansdale, PA 19446-5338
Phone
(215) 361-5090
Fax
(215) 412-4296
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Authorized official

Name
Linda Nadwodny, DONPI 1386606051
Title
President
Phone
(215) 361-5090

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1019 S Broad St
Lansdale, PA 19446-5338

Mailing address

1019 S Broad St
Lansdale, PA 19446-5338
Phone (215) 361-5090

Other identifiers 1

IdentifierTypeStateIssuer
0018859280001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031126000683 PA Part B Supplier - Clinic/Group Practice 1759286172 Receives reassigned benefits from 11 practitioners
Practice locations: Lansdale, PA; Chalfont, PA; Blue Bell, PA

National Provider Directory

National Provider Directory

Locations

653 Skippack Pike
Ste 100
Blue Bell, PA 19422
Phone (610) 272-9400

653 Skippack Pike
Ste 100A
Blue Bell, PA 19422

1379 Skippack Pike
Blue Bell, PA 19422
Phone (610) 272-9400

1500 Horizon Dr
Chalfont, PA 18914
Phone (215) 395-8888

1500 Horizon Dr
Ste 102
Chalfont, PA 18914
Phone (215) 712-2500

1019 S Broad St
Lansdale, PA 19446
Phone (215) 361-5090

Practitioners & affiliated clinicians

Practitioners 11

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": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1114971553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 S BROAD ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465338",
            "telephone_number": "215-361-5090",
            "fax_number": "215-412-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 S BROAD ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465338",
            "telephone_number": "215-361-5090",
            "fax_number": "215-412-4296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LMG FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "NADWODNY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-361-5090",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018859280001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.