Individual provider Active NPI

Elizabeth Kwon Ruszak, D.O.

  • Obstetrics & Gynecology Physician
  • Lancaster, PA
National Provider Identifier
1194090696
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS018334 Issued in PA
Practice address
2128 Embassy Dr
Lancaster, PA 17603-2385
Phone
(717) 509-5090
Fax
(717) 509-5078
NPI assigned
Mar 15, 2012
Last updated
Aug 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Obstetrics & Gynecology Physician 207V00000X OS018334 PA Primary

Addresses

Primary practice location

2128 Embassy Dr
Lancaster, PA 17603-2385

Mailing address

2128 Embassy Dr
Lancaster, PA 17603-2385
Phone (717) 509-5090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160929000101 PA Practitioner - Obstetrics/Gynecology 3678860079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Philadelphia College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

2128 Embassy Dr
Penn Medicine LGHP Family Medicine Abbeyvil
Lancaster, PA 17603-2385
Phone (717) 544-3119

51 Peters Rd
Lititz, PA 17543-7685

554 N Duke St
LGHP Penn Med Plastic and Cosmetic Surgery
Lancaster, PA 17602-2250
Phone (717) 291-5863

555 N Duke St
Lancaster, PA 17602-2250

555 N Duke St 1St Floor
LGHP Penn Medicine Behavioral Health
Lancaster, PA 17602-2250
Phone (717) 560-3782

690 Good Dr
Lancaster, PA 17601-2433

694 Good Dr
Lancaster, PA 17601-2433

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group Obstetrics & Gynecology CurrentSince Jan 1, 2023 Accepting new patients
Lancaster General Medical Group CurrentSince Jan 1, 2023 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Hospital Past Accepting new patients
Lancaster General Medical Group Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2128 Embassy Dr
Lancaster, PA 17603
Phone (717) 509-5090

2128 Embassy Dr
#M
Lancaster, PA 17603
Phone (717) 509-5090

554 N Duke St
Lancaster, PA 17602
Phone (717) 291-5863

Interoperability endpoints

  • Direct secure messaging: eruszak162178@direct-lghealth.org

Organizations & group practices 6

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 3

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": "1331769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1194090696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 EMBASSY DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032385",
            "telephone_number": "717-509-5090",
            "fax_number": "717-509-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 EMBASSY DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032385",
            "telephone_number": "717-509-5090",
            "fax_number": "717-509-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSZAK",
        "first_name": "ELIZABETH",
        "middle_name": "KWON",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-15",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS018334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.