Lancaster General Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LANCASTER GENERAL MEDICAL GROUP

Doing business as

Penn Medicine LGHP Family Medicine Manor Ridge

Practice address

2113 Manor Ridge Dr
Lancaster, PA 17603-4215

Phone

(717) 299-4644

Fax

(717) 390-2916

NPI assigned

Nov 17, 2015

Last updated

Nov 16, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Denise Kennedy

Title

Vice President Financial Services

Phone

(717) 544-5010

Specialties & licenses 1

Addresses

Other names 1

• Penn Medicine LGHP Family Medicine Manor Ridge Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashley Allis, CRNP

  • Nurse Practitioner
  • Lititz, PA
  • NPI 1649735820
  NPD
• Carolyn Alicia Demarra, M.S., LPC, CBIS

  • Professional Counselor
  • Lancaster, PA
  • NPI 1932618360

  Multi-Specialty

  NPD
• Ada-Nkem Angela Emuwa, M.D., M.P.H.

  • Family Medicine Physician
  • York, PA
  • NPI 1730300385
  NPD
• Karen Kang

  • Physician Assistant
  • Lebanon, PA
  • NPI 1609584192

  Multi-Specialty

  NPD
• Jonathan Musyt, MD

  • Family Medicine Physician
  • Ephrata, PA
  • NPI 1033556253
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1154795920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 MANOR RIDGE DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176034215",
            "telephone_number": "717-299-4644",
            "fax_number": "717-390-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 MANOR RIDGE DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176034215",
            "telephone_number": "717-299-4644",
            "fax_number": "717-390-2916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER GENERAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCIAL SERVICES",
        "authorized_official_telephone_number": "717-544-5010"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Penn Medicine LGHP Family Medicine Manor Ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lancaster General Medical Group (Penn Medicine LGHP Women's Internal Medicine)
• Lancaster General Medical Group (Penn Medicine LGHP Wellness Express)
• Lancaster General Medical Group (Penn Vascular Surgery Lancaster)
• Lancaster General Medical Group (Penn Medicine LGHP Arthritis & Rheumatology)
• Lancaster General Medical Group (Penn Medicine HealthWorks)
• Lancaster General Medical Group (Penn Medicine LGHP Orthopaedics)
• Lancaster General Medical Group (Penn Medicine LGHP Family Medicine Centerville)
• Lancaster General Medical Group (Penn Medicine LGH Physical Medicine and Rehabilitation)
• Lancaster General Medical Group (Penn Medicine LGHP Lancaster Physicians for Women)
• Lancaster General Medical Group (Penn Medicine LGHP Plastic & Cosmetic Surgery)

• Family Medicine Physician in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.