Organization Active NPI

GM Neurologic Health Associates LLC

  • Neurology Physician
  • Lancaster, PA
National Provider Identifier
1255052668
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
GM NEUROLOGIC HEALTH ASSOCIATES LLC
Practice address
2119 Marietta Ave Ste 1
Lancaster, PA 17603-2207
Phone
(717) 200-1122
Fax
(717) 745-3824
NPI assigned
Sep 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Authorized official

Name
Dr. Gangadhar Madupu, MD., MS.
Title
Owener /Propritor
Phone
(717) 333-0366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

2119 Marietta Ave Ste 1
Lancaster, PA 17603-2207

Mailing address

2119 Marietta Ave Ste 1
Lancaster, PA 17603-2207
Phone (717) 200-1122

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1255052668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 MARIETTA AVE STE 1",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032207",
            "telephone_number": "717-200-1122",
            "fax_number": "717-745-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 MARIETTA AVE STE 1",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032207",
            "telephone_number": "717-200-1122",
            "fax_number": "717-745-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GM NEUROLOGIC HEALTH ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "MADUPU",
        "authorized_official_first_name": "GANGADHAR",
        "authorized_official_title_or_position": "OWENER /PROPRITOR",
        "authorized_official_telephone_number": "717-333-0366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD., MS."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.