Alliance Physician Services, PC /Dba Midlantic Urology
Organization Active NPI Urology Physician · Lancaster, PA
NPI 1295565356 · NPPES record last updated Sep 2, 2026
Key facts
- NPI
- 1295565356
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urology Physician 208800000X
- Legal business name
- ALLIANCE PHYSICIAN SERVICES, PC /DBA MIDLANTIC UROLOGY
- Practice address
- 2106 Harrisburg Pike Ste 200
Lancaster, PA 17601-2644 - Phone
- (717) 393-1771
- NPI assigned
- Aug 5, 2024
- Organization subpart
- No
Authorized official
- Name
- Michael J Hagg
- Title
- Authorized Official
- Phone
- (484) 530-0205
Other NPIs on the same Medicare enrollment 3
Corporate family (same tax ID) 12
Member organizations 9
Practitioners 17
-
Kristen N Berfield, CRNP
-
Jesse Dennis Culp, CRNP
-
Mark Samuel Hockenberry, M.D.
-
Robert D Hong, M.D.
-
Phu Vu, PA-C
-
David Christopher Brooks, M.D., PH.D.
-
Geoffrey Steven Gaunay, M.D.
-
Arjun Khosla, M.D.
-
Christopher Roger Miller, M.D.
-
Paul J Russinko, M.D.
-
Steven M Salva, MD
-
Paul R Sieber, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170531000529 | PA | Part B Supplier - Clinic/Group Practice | 3274800941 |
Receives reassigned benefits from 178 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Philadelphia, PA; Sellersville, PA; Paoli, PA; Phoenixville, PA; Plymouth Meeting, PA; Pottstown, PA; Wayne, PA; West Chester, PA… |
National Provider Directory
- Tax ID family
- Centers for Advanced Urology LLC
Locations
415 McFarlan Rd
Ste 207
Kennett Square, PA 19348
Phone (610) 259-3000
2150 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 396-9167
2110 Harrisburg Pike
Ste 1
Lancaster, PA 17601
Phone (717) 397-4254
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician |
208800000X | Yes |
Addresses
Primary practice location
2106 Harrisburg Pike Ste 200
Lancaster, PA 17601-2644
Mailing address
140 W Germantown Pike Ste 200
Plymouth Meeting, PA 19462-1421
Phone (484) 530-0205
NPI Registry JSON
{
"created_epoch": "1722816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788307200000",
"number": "1295565356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 W GERMANTOWN PIKE STE 200",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194621421",
"telephone_number": "484-530-0205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2106 HARRISBURG PIKE STE 200",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176012644",
"telephone_number": "717-393-1771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLIANCE PHYSICIAN SERVICES, PC /DBA MIDLANTIC UROLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-05",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A",
"authorized_official_last_name": "HAGG",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "484-530-0205"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
- Lisa S. Allen
- Mindy Allensworth
- Allergy and Asthma Center PC
- Janae Michele Allgire
- Anne Allgyer
- Cynthia Allison
- Sylvia Anne Allwardt
- Alnahhal Behavioral Counselling Services Inc.
- Anita Alonte Roma
- Denise Lynn Alston
All providers in Lancaster, PA · Urology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.