Organization Active NPI

Lancaster General Medical Group

  • Clinic/Center
  • Lititz, PA
National Provider Identifier
1235460387
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LANCASTER GENERAL MEDICAL GROUP
Practice address
1008 Lititz Pike
Lititz, PA 17543-9328
Phone
(717) 627-6074
Fax
(717) 627-6915
NPI assigned
Jan 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Authorized official

Name
Dr. Kent E Carr, MD
Title
Sr. VP, Physician Services
Phone
(717) 544-4001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1008 Lititz Pike
Lititz, PA 17543-9328

Mailing address

1008 Lititz Pike
Lititz, PA 17543-9328
Phone (717) 627-6074

Other names 1

  • Lancaster General Health Express - Kissel Hill Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040309000916 PA Part B Supplier - Clinic/Group Practice 0941103683 Receives reassigned benefits from 886 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1235460387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 LITITZ PIKE",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175439328",
            "telephone_number": "717-627-6074",
            "fax_number": "717-627-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 LITITZ PIKE",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175439328",
            "telephone_number": "717-627-6074",
            "fax_number": "717-627-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER GENERAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SR. VP, PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "717-544-4001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lancaster General Health Express - Kissel Hill",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lititz, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.