Lancaster General Hospital
Organization Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Lancaster, PA
NPI 1124493168 · NPPES record last updated Dec 17, 2025
Key facts
- NPI
- 1124493168
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
- Legal business name
- LANCASTER GENERAL HOSPITAL
- Practice address
- 2102 Harrisburg Pike
Lancaster, PA 17601-2644 - Phone
- (717) 544-9400
- Fax
- (717) 544-9401
- NPI assigned
- Dec 2, 2015
- Organization subpart
- No
Authorized official
- Name
- Gary A Welch
- Title
- Chief Operating Officer
- Phone
- (717) 544-5658
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 44
Member of 1
Practitioners 17
-
Kelly Field Bonneville, PA-C
-
Bryan Dennis Booth, PA-C
-
Brian C Burk, PA-C
-
Theodore Harmon Butcher, PA-C
-
Leah Carr, CRNP
-
Mark Epler, M.D.
-
Kelly A Gast, PA-C
-
Kelly A Hikes, PA
-
Jessica Lynn Leisey, PAC
-
Idriys A McField, PA-C
-
Kinjal Ashish Ramani, CRNP
-
Joy Rice, PA-C
-
Archana Sharma, APRN
-
Lauren Stasko, CRNP
-
Arianne Theodorous Train, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120425000426 | PA | Part B Supplier - Clinic/Group Practice | 1254240039 |
Receives reassigned benefits from 37 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lancaster, PA; Lebanon, PA |
National Provider Directory
- Tax ID family
- Lancaster Gen Hosp Lab
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | |||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
208G00000X | Yes |
Addresses
Primary practice location
2102 Harrisburg Pike
Lancaster, PA 17601-2644
Mailing address
2102 Harrisburg Pike
Lancaster, PA 17601-2644
Phone (717) 544-9400
Other names
- Penn Medicine Lancaster General Health Physicians Thoracic 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 · Thoracic Surgery (Cardiothoracic Vascular Surgery) 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 Dec 17, 2025. 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.