NPIMap

Individual provider Active NPI

David W Hartley, M.D.

  • Family Medicine Physician
  • Gap, PA
National Provider Identifier
1124056031
Registry record updated Oct 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD039158E Issued in PA
Practice address
5275 Lincoln Hwy
Gap, PA 17527-9427
Phone
(717) 442-8111
Fax
(717) 442-8981
NPI assigned
Jun 29, 2006
Last updated
Oct 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD039158E PA Primary

Addresses

Primary practice location

5275 Lincoln Hwy
Gap, PA 17527-9427

Mailing address

5275 Lincoln Hwy
Gap, PA 17527-9427
Phone (717) 442-8111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080108000171 PA Practitioner - Family Practice 1456431139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

1159 River Rd
Marietta, PA 17547-1628
Phone (717) 426-1131

3045 Marietta Ave
Lancaster, PA 17601-1321
Phone (717) 299-4644

5360 Lincoln Hwy
Suite 15
Gap, PA 17527-9461
Phone (717) 544-3059

5360 Lincoln Hwy E 15
Gap, PA 17527-9461

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Oct 1, 2007 Accepting new patients
Lancaster General Medical Group CurrentSince Oct 1, 2007 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Medical Group Family Medicine Past Accepting new patients

Locations

5275 Lincoln Hwy
Gap, PA 17527
Phone (717) 442-8111

5360 Lincoln Hwy
Ste 15
Gap, PA 17527
Phone (717) 442-8111

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

1159 River Rd
#F
Marietta, PA 17547
Phone (717) 426-1131

Interoperability endpoints

  • Direct secure messaging: dhartley1267@direct-lghealth.org

Organizations & group practices 4

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

Hospital & facility affiliations 8

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191801600000",
    "number": "1124056031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 LINCOLN HWY",
            "city": "GAP",
            "state": "PA",
            "postal_code": "175279427",
            "telephone_number": "717-442-8111",
            "fax_number": "717-442-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 LINCOLN HWY",
            "city": "GAP",
            "state": "PA",
            "postal_code": "175279427",
            "telephone_number": "717-442-8111",
            "fax_number": "717-442-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLEY",
        "first_name": "DAVID",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD039158E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gap, PA

Sources for this page

Verify at the official NPI Registry.