Active NPI
Mark Douglas Etter, M.D.
- Advanced Heart Failure and Transplant Cardiology Physician
- Lancaster, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Heart Failure and Transplant Cardiology Physician
- License
- MD070762L
- Practice address
- 217 Harrisburg Ave
The Heart Group of Lghealth
Lancaster, PA 17603-2964 - Phone
- (717) 544-8300
- Fax
- (717) 544-8265
- NPI assigned
- Mar 7, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD070762L | PA | |
| Nuclear Cardiology Physician | 207UN0901X | MD070762L | PA | |
| Advanced Heart Failure and Transplant Cardiology Physician | 207RA0001X | MD070762L | PA | Primary |
Addresses
Primary practice location
217 Harrisburg Ave
The Heart Group of Lghealth
Lancaster, PA 17603-2964
Mailing address
217 Harrisburg Ave
The Heart Group of Lghealth
Lancaster, PA 17603-2964
Phone (717) 544-8300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018303300005 | Medicaid | PA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Pennsylvania State University College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
217 Harrisburg Ave
Lancaster, PA 17603-2962
Phone (717) 544-8300
Hospital & facility affiliations
- Lancaster General Hospital
- Wellspan York Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lancaster General Hospital | Current | Accepting new patients | |
| Lancaster General Hospital | Current | Accepting new patients | |
| Lanaster General Hospital | Current | Accepting new patients | |
| The Heart Group of Lancaster General Health | Advanced Heart Failure and Transplant Cardiology | Current | Accepting new patients |
| MRI Group, LLP | Past | Accepting new patients |
Locations
426 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 299-1301
217 Harrisburg Ave
Ste 200
Lancaster, PA 17603
Phone (717) 397-5484
555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945
217 Harrisburg Ave
Lancaster, PA 17603
Phone (717) 397-5484
51 Peters Rd
Lititz, PA 17543
Phone (717) 627-2400
Interoperability endpoints
- metter10692@direct-lghealth.org
Organizations & group practices 5
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.
-
- Cardiovascular Disease Physician
- Lancaster, PA
- NPI 1760793210
Advanced Heart Failure and Transplant Cardiology
-
- Surgery Physician
- Lancaster, PA
- NPI 1154331775
-
- Anesthesiology Physician
- Lancaster, PA
- NPI 1144741901
-
- Gastroenterology Physician
- Lancaster, PA
- NPI 1205691912
-
- Diagnostic Radiology Physician
- Lancaster, PA
- NPI 1518129196
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lancaster, PA
- NPI 1104875103
-
- General Acute Care Hospital
- Parkesburg, PA
- NPI 1245571942
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494979200000",
"number": "1346217692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 HARRISBURG AVE",
"address_2": "THE HEART GROUP OF LGHEALTH",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176032964",
"telephone_number": "717-544-8300",
"fax_number": "717-544-8265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 HARRISBURG AVE",
"address_2": "THE HEART GROUP OF LGHEALTH",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176032964",
"telephone_number": "717-544-8300",
"fax_number": "717-544-8265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ETTER",
"first_name": "MARK",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2017-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD070762L",
"primary": false
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "PA",
"license": "MD070762L",
"primary": false
},
{
"code": "207RA0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
"state": "PA",
"license": "MD070762L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018303300005",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
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 May 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.