Individual provider Active NPI

Elizabeth Eleanor Blackburn, AU.D.

  • Audiologist
  • Lancaster, PA
National Provider Identifier
1336520683
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT006405 Issued in PA
Practice address
2221 Noll Dr
Lancaster, PA 17603-7614
Phone
(717) 327-4122
Fax
(717) 531-0849
NPI assigned
Jun 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT006405 PA Primary

Addresses

Primary practice location

2221 Noll Dr
Lancaster, PA 17603-7614

Mailing address

500 University Dr
Hershey, PA 17033-2360

Other practice location 1

810 Plaza Blvd
Lancaster, PA 17601-2762
Phone (717) 735-1463

Other practice location 2

561 W Trout Run Rd
Ephrata, PA 17522-9604
Phone (717) 220-3494

Other names 1

  • Elizabeth Swartz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151019001434 PA Practitioner - Qualified Audiologist 8820300288 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2221 Noll Dr FL
Suite 1
Lancaster, PA 17603-7610
Phone (717) 715-1001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT006405PAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physicians Group CurrentSince Oct 1, 2024 Accepting new patients
Otolaryngology Physicians of Lancaster, LTD. CurrentSince May 27, 2015 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
York ENT Associates Current Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Oct 1, 2024 Accepting new patients
The Milton S. Hershey Medical Center Physicians Group Past Accepting new patients

Locations

561 W Trout Run Rd
Ephrata, PA 17522
Phone (717) 220-3494

500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159

500 University Dr
#A4
Hershey, PA 17033
Phone (717) 531-6261

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

2221 Noll Dr
Lancaster, PA 17603
Phone (717) 327-4694

1430 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 327-4680

810 Plaza Blvd
Lancaster, PA 17601
Phone (717) 394-5088

2221 Noll Dr
Fl 1
Lancaster, PA 17603
Phone (717) 327-4326

924 Colonial Ave
Ste E
York, PA 17403
Phone (717) 843-9089

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

Interoperability endpoints

  • Direct secure messaging: ellie.blackburn@theentcenter.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73431

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1336520683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 NOLL DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176037614",
            "telephone_number": "717-327-4122",
            "fax_number": "717-531-0849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 Plaza Blvd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176012762",
            "country_code": "US",
            "telephone_number": "717-735-1463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "561 W Trout Run Rd",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175229604",
            "country_code": "US",
            "telephone_number": "717-220-3494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "ELIZABETH",
        "middle_name": "ELEANOR",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SWARTZ",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.