Trudie Jane Ellenberger, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

OS003746L Issued in PA

Practice address

1500 Highlands Dr
Lititz, PA 17543-7694

Phone

(717) 625-5500

NPI assigned

May 12, 2006

Last updated

Sep 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

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.

• Emergency Physician Associates of Pennsylvania, PC

  • Emergency Medicine Physician
  • Hanover, PA
  • NPI 1619990900
  Medicare reassignment NPD
• Urgent Care, PC - Pennsylvania

  • Emergency Medicine Physician
  • Pittsburgh, PA
  • NPI 1982839031
  Medicare reassignment NPD
• Medexpress Urgent Care, PC - Pennsylvania

  dba MedExpress Urgent Care - St. Clair, Clover Dr

  • Urgent Care Clinic/Center
  • Saint Clair, PA
  • NPI 1720545320

  Emergency Medicine

  NPD
• Medexpress Urgent Care, PC - Pennsylvania

  dba MedExpress Urgent Care - Mt. Lebanon

  • Urgent Care Clinic/Center
  • Pittsburgh, PA
  • NPI 1770830580
  NPD
• Medexpress Urgent Care, PC - Monaca

  • Urgent Care Clinic/Center
  • Monaca, PA
  • NPI 1801040092

  Emergency Medicine

  NPD (past)
• New Jersey/Pennsylvania Em-I Medical Services, P.C.

  • Emergency Medicine Physician
  • Lititz, PA
  • NPI 1003930686
  NPD (past)
• Emergency Physician Specialists Inc

  • Emergency Medicine Physician
  • Davenport, FL
  • NPI 1912973850
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1174573737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 SPRING DELL RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176015531",
            "telephone_number": "717-397-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 HIGHLANDS DR",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437694",
            "telephone_number": "717-625-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Rohrerstown Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176032229",
            "country_code": "US",
            "telephone_number": "717-299-3627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLENBERGER",
        "first_name": "TRUDIE",
        "middle_name": "JANE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS003746L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100843265",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mackenzie David Ehrgood I
• Elizabeth Eichenlaub
• Christina Einhorn
• Jennifer Eldridge, M.D.
• Eleanor Home Health Agency LLC
• Embrace Wellness Counseling LLC
• Austin R Enser, PHARMD
• Jere B Eshelman, D.D.S.
• Carolyn S Esterly, PA-C
• Extending Grace Counseling LLC

• Emergency Medicine Physician in Lititz, PA
• Providers in Lititz, PA by specialty
• Emergency Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.