Active NPI
Lindsey Taylor Surace, MD
- Gastroenterology Physician
- Harrisburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 449219
- Practice address
- 4387 Sturbridge Dr
Harrisburg, PA 17110-3673 - Phone
- (717) 238-3111
- NPI assigned
- Mar 27, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 449219 | PA | Primary |
Addresses
Primary practice location
4387 Sturbridge Dr
Harrisburg, PA 17110-3673
Mailing address
423 N 21St St
Suite 100
Camp Hill, PA 17011-2207
Phone (717) 761-0930
Other practice location 1
423 N 21st St
Suite 100
Camp Hill, PA 17011-2207
Phone (717) 761-0930
Other names 1
- Lindsey Taylor Petty
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lindseysurace@jg.allscriptsdirect.net |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 449219 | PA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Gastroenterology | Current | Accepting new patients |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Mount Nittany Medical Center Health Services Inc | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
141 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-7322
954 Isabel Dr
Lebanon, PA 17042
Phone (717) 376-1180
1850 E Park Ave
Ste 201
State College, PA 16803
Phone (814) 234-8800
3901 S Atherton St
Ste 130
State College, PA 16801
3901 S Atherton St
Ste 2
State College, PA 16801
Phone (814) 278-4631
1600 S George St
York, PA 17403
Phone (717) 848-3615
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
Interoperability endpoints
- lindseysurace@jg.allscriptsdirect.net
- lsurace359145@wellspan.direct-ci.com
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- State College, PA
- NPI 1598992554
-
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- Urgent Care Clinic/Center
- Ephrata, PA
- NPI 1225375884
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1346412673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 N 21ST ST",
"address_2": "SUITE 100",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170112207",
"telephone_number": "717-761-0930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4387 STURBRIDGE DR",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171103673",
"telephone_number": "717-238-3111"
}
],
"practiceLocations": [
{
"address_1": "423 N 21st St",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Camp Hill",
"state": "PA",
"postal_code": "170112207",
"country_code": "US",
"telephone_number": "717-761-0930",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SURACE",
"first_name": "LINDSEY",
"middle_name": "TAYLOR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-27",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "PA",
"license": "449219",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lindseysurace@jg.allscriptsdirect.net",
"affiliation": "N",
"address_1": "4387 Sturbridge Dr",
"city": "Harrisburg",
"state": "PA",
"country_code": "US",
"postal_code": "171103673",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LINDSEY",
"last_name": "PETTY",
"middle_name": "TAYLOR",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.