Lancaster General Hospital
Organization Active NPI Psychologist · Lancaster, PA
NPI 1154418358 · NPPES record last updated Apr 25, 2025
Key facts
- NPI
- 1154418358
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- Legal business name
- LANCASTER GENERAL HOSPITAL
- Practice address
- 540 N Duke St
3Rd Floor
Lancaster, PA 17602-2374 - Phone
- (717) 544-4950
- Fax
- (717) 544-5964
- NPI assigned
- Oct 7, 2006
- 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 15
Practitioners 21
-
Kathryn Abello, M.D.
-
Matthew Beelen, MD
-
Jean David Dumornay, M.D.
-
Andrew S Hostetter, PA-C
-
Caitlin Inners, M.D.
-
Lisa L Kelly, CRNP
-
Randy L Kochel, MD
-
Michael R Loeven, MD
-
Jessica Mendez, CRNP
-
Kelsey O, Pappas, MD
-
Megan Schulz, M.D.
-
Kishor Singapuri, MD
-
Tuc To, MD
-
Jay A. Zimmermann, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040414000606 | PA | Part B Supplier - Clinic/Group Practice | 1254240039 |
Receives reassigned benefits from 232 practitioners 15 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Quarryville, PA; Lancaster, PA; Lititz, PA; Parkesburg, PA; Willow Street, PA; Elizabethtown, PA; Ephrata, PA; Cornwall, PA… |
National Provider Directory
- Part of
- Lancaster Gen Hosp Lab
Locations
317 Chestnut St
#H
Quarryville, PA 17566
Phone (717) 786-7383
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | PA | Yes |
Addresses
Primary practice location
540 N Duke St
3Rd Floor
Lancaster, PA 17602-2374
Mailing address
540 N Duke St
3Rd Floor
Lancaster, PA 17602-2374
Phone (717) 544-4950
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50055738 | Other | PA | CAPITAL BLUE CROSS |
| 001604943 | Other | PA | HIGHMARK BLUE SHIELD |
| 1142435 | Other | PA | AETNA-HMO |
| 2288603000 | Other | PA | AMERIHEALTH 65 |
| 7179762 | Other | PA | AETNA-NON HMO |
Other names
- Penn Medicine LGHP Family Medicine Downtown Psychology
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
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 · Psychologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 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.