Active NPI
Douglas A Ockrymiek, DO
- Psychiatry Physician
- Lancaster, PA
National Provider Identifier
1194761015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- OS004324L
- Practice address
- 790 New Holland Ave
Lancaster, PA 17602-2137 - Phone
- (717) 390-0353
- Fax
- (717) 390-1812
- NPI assigned
- Jun 20, 2006
- Last updated
- Dec 15, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | OS004324L | PA | Primary |
| Geriatric Psychiatry Physician | 2084P0805X | OS004324L | PA |
Addresses
Primary practice location
790 New Holland Ave
Lancaster, PA 17602-2137
Mailing address
320 Highland Dr
Mountville, PA 17554-1232
Phone (717) 285-7121
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115435 | Other | PA | PA BLUE SHIELD |
| 50052373 | Other | PA | CAPITAL BLUE CROSS |
| 000957497 | Medicaid | PA | |
| 2095770 | Other | PA | CIGNA BEHAV HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS004324L | PA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ephrata Community Hospital | Current | Accepting new patients | |
| Samaritan Counseling Center | Past | Accepting new patients | |
| Wellspan Medical Group | Past | Accepting new patients |
Locations
169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311
Organizations & group practices 3
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.
-
dba WellSpan Ephrata Community Hospital
- Certified Registered Nurse Anesthetist
- Ephrata, PA
- NPI 1063559912
-
- Psychologist
- Lancaster, PA
- NPI 1043274608
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323907200000",
"number": "1194761015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 HIGHLAND DR",
"city": "MOUNTVILLE",
"state": "PA",
"postal_code": "175541232",
"telephone_number": "717-285-7121",
"fax_number": "717-285-5302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 NEW HOLLAND AVE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176022137",
"telephone_number": "717-390-0353",
"fax_number": "717-390-1812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCKRYMIEK",
"first_name": "DOUGLAS",
"middle_name": "A",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2011-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "OS004324L",
"primary": true
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "PA",
"license": "OS004324L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA BLUE SHIELD",
"identifier": "115435",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50052373",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000957497",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAV HEALTH",
"identifier": "2095770",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
- Occupational Health Centers of the Southwest P.a. (Arconic Lancaster)
- Occupational Health Centers of the Southwest P.a. (Concentra Medical Centers)
- Occupational Health Centers of the Southwest P.a. (Concentra Medical Centers)
- Occupational Health Centers of the Southwest, P.a., P.C. (Concentra Medical Center)
- Samantha Ochoa, CRNP
- Anna Oconnor, P.T.
- Thomas M Oconnor, DO
- Kerry Odgers, BA
- Sara Rose Odicio, LCSW
- Jennifer Offidani, MSW, LSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.