Individual provider Active NPI

Mark Douglas Etter, M.D.

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Lancaster, PA
National Provider Identifier
1346217692
Registry record updated May 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Heart Failure and Transplant Cardiology PhysicianTaxonomy code 207RA0001X
License
MD070762L Issued in PA
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

Updated by the provider on May 17, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0018303300005MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060209000226 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Advanced Heart Failure and Transplant Cardiology 1456366673 Reassigns benefits to 2 organizations

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
The Heart Group of Lancaster General HealthGroup PAC ID 1052507449, 62 clinicians

Practice addresses (Care Compare)

217 Harrisburg Ave
Lancaster, PA 17603-2962
Phone (717) 544-8300

Hospital & facility affiliations

  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100
  • Wellspan York Hospital Hospital, York, PA, CCN 390046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Hospital Current Accepting new patients
Lancaster General Hospital CurrentSince Dec 8, 2014 Accepting new patients
Lanaster General Hospital CurrentSince Dec 8, 2014 Accepting new patients
The Heart Group of Lancaster General Health Advanced Heart Failure and Transplant Cardiology CurrentSince Aug 15, 2010 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.