Lancaster General Hospital
Organization Active NPI Obesity Medicine (Internal Medicine) Physician · Lancaster, PA
NPI 1124200787 · NPPES record last updated Jan 30, 2026
Key facts
- NPI
- 1124200787
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obesity Medicine (Internal Medicine) Physician 207RB0002X
- Legal business name
- LANCASTER GENERAL HOSPITAL
- Practice address
- 2150 Harrisburg Pike
Suite 300
Lancaster, PA 17601-2644 - Phone
- (717) 544-2935
- Fax
- (717) 544-3935
- NPI assigned
- Dec 5, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- LANCASTER GENERAL HOSPITAL
Authorized official
- Name
- Gary A Welch
- Title
- Chief Operating Officer
- Phone
- (717) 544-5658
Other NPIs on the same Medicare enrollment 2
Practitioners 20
-
John D Betteridge, M.D.
-
Alexander M Case, PA-C
-
Christine Detwiler, CRNP
-
Scott Ryan Douglas, M.D.
-
Christopher Paul Farrell, D.O.
-
Kelly A Gast, PA-C
-
Alison A Hennesy, CRNP
-
Andrew Eddie Lee, M.D.
-
Jamie Ann Lilie, CRNP
-
Joseph R McPhee IV, M.D.
-
Melissa G Morgan, DO
-
Christopher E Shih, M.D.
-
David M Smith, MD
-
Rachael Tobelmann, MS, RD, LDN
-
Jennifer L Tonkinson, CRNP
-
Jody W Witek, CRNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121114000177 | PA | Part B Supplier - Clinic/Group Practice | 1254240039 |
Receives reassigned benefits from 70 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lancaster, PA |
National Provider Directory
- Part of
- Lancaster Gen Hosp Lab
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist |
133N00000X | |||
| Registered Dietitian |
133V00000X | |||
| Obesity Medicine (Internal Medicine) Physician |
207RB0002X | Yes | ||
| Surgery Physician |
208600000X | |||
| Surgical Critical Care Physician |
2086S0102X |
Addresses
Primary practice location
2150 Harrisburg Pike
Suite 300
Lancaster, PA 17601-2644
Mailing address
2150 Harrisburg Pike Ste 300
Lancaster, PA 17601-2644
Phone (717) 544-2935
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3424568000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 1806894 | Other | PA | AETNA HMO |
| 000000245588 | Other | PA | UNISON |
| 1570908 | Other | PA | GATEWAY |
| 100771175 0085 | Medicaid | PA | |
| 20071617 | Other | PA | MERCY |
| 9012132 | Other | PA | AETNA-NON HMO |
| CK7852 | Other | PA | RR MEDICARE |
| 50074071 | Other | PA | CAPITAL BLUE CROSS |
| 2002199 | Other | PA | HIGHMARK |
Other names
- Penn Medicine LGHP Healthy Weight Management & Bariatric Surgery
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other |
Other providers in Lancaster, PA
- Lancaster General Hospital
- Lancaster General Hospital
- Lancaster General Hospital
- Lancaster General Hospital
- Lancaster General Hospital
- Lancaster General Hospital
- Lancaster General Hospital
- Lancaster General Hospital
- Lancaster General Hospital
- Lancaster General Hospital
All providers in Lancaster, PA · Obesity Medicine (Internal Medicine) Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.