NPIMap

Individual provider Active NPI

Sean Patrick Perrine, D.O.

  • Family Medicine Physician
  • Lancaster, PA
National Provider Identifier
1205276417
Registry record updated Mar 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS017610 Issued in PA
Practice address
625 S Duke St
Lancaster, PA 17602-4509
Phone
(717) 299-6371
Fax
(717) 397-4881
NPI assigned
Jul 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS017610 PA Primary

Addresses

Primary practice location

625 S Duke St
Lancaster, PA 17602-4509

Mailing address

304 N Water St
Lancaster, PA 17603-3374
Phone (717) 299-6371

Other identifiers 1

IdentifierTypeStateIssuer
103022434MedicaidPA

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
I20150810000979 PA Practitioner - Family Practice 6709190481 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5125 Jonestown Rd
Suite 105
Harrisburg, PA 17112-2987
Phone (717) 943-1566

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS017610PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Community Care CurrentSince Aug 31, 2015 Accepting new patients
Lancaster General Hospital Current Accepting new patients
Patient First Pennsylvania Medical Group PLLC Family Medicine Current Accepting new patients
Patient First Pennsylvania Medical Group PLLC Family Medicine CurrentSince Apr 3, 2018 Accepting new patients
Lancaster General Hospital CurrentSince Mar 22, 2021 Accepting new patients
Lancaster General Hospital Family Medicine CurrentSince Mar 22, 2021 Accepting new patients
Union Community Care CurrentSince Aug 31, 2015 Accepting new patients
Patient First Pennsylvania Medical Group PLLC Family Medicine CurrentSince Apr 3, 2018 Accepting new patients
Lancaster General Medical Group Family Medicine Past Accepting new patients

Locations

5125 Jonestown Rd
Ste 105
Harrisburg, PA 17112
Phone (717) 943-1566

304 N Water St
Lancaster, PA 17603
Phone (717) 299-6372

540 N Duke St
Fl 3
Lancaster, PA 17602
Phone (717) 544-4950

625 S Duke St
Lancaster, PA 17602
Phone (717) 299-6372

713 Bethlehem Pike
Montgomeryvle, PA 18936
Phone (267) 695-3944

317 Chestnut St
#H
Quarryville, PA 17566
Phone (717) 786-7383

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

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520208000000",
    "number": "1205276417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N WATER ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033374",
            "telephone_number": "717-299-6371",
            "fax_number": "717-945-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176024509",
            "telephone_number": "717-299-6371",
            "fax_number": "717-397-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRINE",
        "first_name": "SEAN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-02",
        "last_updated": "2018-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS017610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103022434",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.