NPIMap

Individual provider Active NPI

Ryan Christopher Wennell, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Lititz, PA
National Provider Identifier
1164866091
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
OS018047 Issued in PA
Practice address
51 Peters Rd Ste 200-201
Lititz, PA 17543-7685
Phone
(717) 626-2167
Fax
(717) 626-1915
NPI assigned
Apr 22, 2013
Last updated
Mar 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS018047 PA
Sports Medicine (Family Medicine) Physician 207QS0010X OS018047 PA Primary

Addresses

Primary practice location

51 Peters Rd Ste 200-201
Lititz, PA 17543-7685

Mailing address

51 Peters Rd Ste 200-201
Lititz, PA 17543-7685
Phone (717) 626-2167

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
I20160720000874 PA Practitioner - Family PracticePractitioner - Sports Medicine 6608190806 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 2013
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)

51 Peters Rd
Suite 200
Lititz, PA 17543-7685
Phone (717) 627-7675

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Hospital CurrentSince Jan 1, 2020 Accepting new patients
Lancaster General Hospital CurrentSince Jan 1, 2020 Accepting new patients
Lancaster General Medical Group CurrentSince Sep 11, 2017 Accepting new patients
Lancaster General Hospital Current Accepting new patients
Lancaster General Medical Group Family Medicine CurrentSince Sep 11, 2017 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Medical Group Family Medicine Past Accepting new patients
Lancaster General Medical Group Family Medicine Past Accepting new patients

Locations

418 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 653-1467

426 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 299-1301

1655 Crooked Oak Dr
Lancaster, PA 17601
Phone (717) 569-2678

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

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

51 Peters Rd
Ste 200
Lititz, PA 17543
Phone (717) 626-2167

51 Peters Rd
Ste 200201
Lititz, PA 17543
Phone (717) 626-2167

1001 Cornerstone Dr
#B
Mount Joy, PA 17552
Phone (717) 653-2929

317 Chestnut St
Quarryville, PA 17566
Phone (717) 544-3555

Interoperability endpoints

  • Direct secure messaging: rwennell171083@direct-lghealth.org

Organizations & group practices 8

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 5

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": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1164866091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 PETERS RD STE 200-201",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437685",
            "telephone_number": "717-626-2167",
            "fax_number": "717-626-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 PETERS RD STE 200-201",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437685",
            "telephone_number": "717-626-2167",
            "fax_number": "717-626-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENNELL",
        "first_name": "RYAN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-22",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS018047",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "OS018047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lititz, PA

Sources for this page

Verify at the official NPI Registry.