Active NPI
Lancaster General Medical Group
- Clinic/Center
- Lancaster, PA
National Provider Identifier
1316256969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- LANCASTER GENERAL MEDICAL GROUP
- Practice address
- 1605 Lititz Pike
Lancaster, PA 17601-6507 - Phone
- (717) 735-3995
- Fax
- (717) 735-9938
- NPI assigned
- Sep 30, 2010
- Last updated
- Sep 30, 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
- Phone
- (717) 544-4001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
1605 Lititz Pike
Lancaster, PA 17601-6507
Mailing address
1605 Lititz Pike
Lancaster, PA 17601-6507
Phone (717) 735-3995
Other names 1
- Lancaster General Health Express - Lancaster Shopping Center
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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- New Holland, PA
- NPI 1306032461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285804800000",
"number": "1316256969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 LITITZ PIKE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176016507",
"telephone_number": "717-735-3995",
"fax_number": "717-735-9938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 LITITZ PIKE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176016507",
"telephone_number": "717-735-3995",
"fax_number": "717-735-9938"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANCASTER GENERAL MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-30",
"last_updated": "2010-09-30",
"status": "A",
"authorized_official_last_name": "CARR",
"authorized_official_first_name": "KENT",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "SR. VP",
"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 - Lancaster Shopping Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lancaster, PA
- Lancaster General Medical Group (Penn Medicine LGHP Lancaster Physicians for Women)
- Lancaster General Medical Group (Penn Medicine LGHP Plastic & Cosmetic Surgery)
- Lancaster General Medical Group (Penn Medicine LGHP Family Medicine Red Rose)
- Lancaster General Medical Group (Penn Medicine LGHP Breast Surgery)
- Lancaster General Medical Group
- Lancaster General Medical Group (Penn Medicine Lancaster General Health Physicians Gynecologic Oncology)
- Lancaster General Medical Group
- Lancaster General Medical Group (Penn Medicine LGHP Diabetes & Endocrinology)
- Lancaster General Medical Group (Penn Medicine Lancaster General Health Physicians Hematology &Oncology)
- Lancaster General Medical Group (Penn Medicine Manheim Township School District Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.