Individual provider Active NPI

Lindsey Taylor Surace, MD

  • Gastroenterology Physician
  • Harrisburg, PA
National Provider Identifier
1346412673
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
449219 Issued in PA
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

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140630000701 PA Practitioner - GastroenterologyPractitioner - Internal Medicine 1355592809 Reassigns benefits to 2 organizations

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
449219PAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group Gastroenterology Current Accepting new patients
Wellspan Medical Group CurrentSince Mar 1, 2023 Accepting new patients
Wellspan Medical Group CurrentSince Mar 1, 2023 Accepting new patients
Mount Nittany Medical Center Health Services Inc CurrentSince Jul 8, 2024 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

  • Direct secure messaging: lindseysurace@jg.allscriptsdirect.net
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.