Active NPI
Lancaster General Medical Group
- Clinic/Center
- Lititz, PA
National Provider Identifier
1235460387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryNPI 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.