Individual provider Active NPI

Holly Frost, M.D.

  • Pediatrics Physician
  • Lancaster, PA
National Provider Identifier
1285639013
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD033691E Issued in PA
Practice address
1570 Fruitville Pike Ste 100
Lancaster, PA 17601-4087
Phone
(717) 569-6481
Fax
(717) 569-5213
NPI assigned
Jun 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD033691E PA Primary

Addresses

Primary practice location

1570 Fruitville Pike Ste 100
Lancaster, PA 17601-4087

Mailing address

1570 Fruitville Pike Ste 100
Lancaster, PA 17601-4087
Phone (717) 569-6481

Other identifiers 10

IdentifierTypeStateIssuer
2658530OtherCTAETNA REF ID
010039781CT01OtherCTBCBS N BCFP PROV ID
004195930MedicaidCT
0874481-003OtherCTCIGNA ID
0V0463OtherCTHEALTH NET ID
1255448155OtherCTGHMC GRP NPI ID
060916784-003OtherCTTRICARE HNFS ID
759412OtherCTCONNECTICARE ID
P2543273OtherCTOXFORD ID
001397810MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200806001092 PA Practitioner - Pediatric Medicine 4981791027 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD033691EPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Medical Group CurrentSince Sep 21, 2020 Accepting new patients
Lancaster General Medical Group CurrentSince Sep 21, 2020 Accepting new patients
Lancaster General Medical Group Past Accepting new patients
Lancaster General Medical Group Pediatrics Past Accepting new patients
Lancaster General Hospital Past Accepting new patients

Locations

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

1570 Fruitville Pike
Ste 100
Lancaster, PA 17601
Phone (717) 569-6481

51 Peters Rd
Ste 202
Lititz, PA 17543
Phone (717) 569-6481

Interoperability endpoints

  • Direct secure messaging: hfrost202636@direct-lghealth.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1285639013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 FRUITVILLE PIKE STE 100",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014087",
            "telephone_number": "717-569-6481",
            "fax_number": "717-569-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 FRUITVILLE PIKE STE 100",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014087",
            "telephone_number": "717-569-6481",
            "fax_number": "717-569-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROST",
        "first_name": "HOLLY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD033691E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA REF ID",
            "identifier": "2658530",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS N BCFP PROV ID",
            "identifier": "010039781CT01",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004195930",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ID",
            "identifier": "0874481-003",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET ID",
            "identifier": "0V0463",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHMC GRP NPI ID",
            "identifier": "1255448155",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE HNFS ID",
            "identifier": "060916784-003",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE ID",
            "identifier": "759412",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD ID",
            "identifier": "P2543273",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001397810",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.