Active NPI
Frederick Lorenzo, MD
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Mechanicsburg, PA
National Provider Identifier
1306831169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- License
- MD015683E
- Practice address
- 2025 Technology Pkwy
Ste G 07
Mechanicsburg, PA 17050-9400 - Phone
- (717) 791-2440
- Fax
- (717) 791-2441
- NPI assigned
- Sep 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD015683E | PA | |
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 207PE0005X | MD015683E | PA | Primary |
Addresses
Primary practice location
2025 Technology Pkwy
Ste G 07
Mechanicsburg, PA 17050-9400
Mailing address
307 S Front St
Harrisburg, PA 17104-1621
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19718 | Other | PA | HIGHMARK BLUE SHIELD |
| 152556 | Other | PA | UNISON |
| 0019718 | Other | PA | KEYSTONE |
| 01029110004 | Medicaid | PA | |
| 34250 | Other | PA | GEISINGER |
| 4244529 | Other | PA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD015683E | PA | MD | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438300800000",
"number": "1306831169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 S FRONT ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 TECHNOLOGY PKWY",
"address_2": "STE G 07",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170509400",
"telephone_number": "717-791-2440",
"fax_number": "717-791-2441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORENZO",
"first_name": "FREDERICK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-16",
"last_updated": "2015-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD015683E",
"primary": false
},
{
"code": "207PE0005X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
"state": "PA",
"license": "MD015683E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "19718",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "152556",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "0019718",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01029110004",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER",
"identifier": "34250",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4244529",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mechanicsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.