Sacred Heart Healthcare System

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SACRED HEART HEALTHCARE SYSTEM

Practice address

5802 Chestnut St
Zionsville, PA 18092-2105

Phone

(610) 965-9100

Fax

(610) 967-9609

NPI assigned

Mar 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Stephen A Lanshe

Title

VP Legal Affairs

Phone

(610) 776-5141

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Zionsville Family Practice Doing business as

Locations

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1366403370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W CHEW ST",
            "address_2": "PHYSICIAN ACCOUNTS",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023406",
            "telephone_number": "610-776-5100",
            "fax_number": "610-663-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 CHESTNUT ST",
            "city": "ZIONSVILLE",
            "state": "PA",
            "postal_code": "180922105",
            "telephone_number": "610-965-9100",
            "fax_number": "610-967-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "LANSHE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP LEGAL AFFAIRS",
        "authorized_official_telephone_number": "610-776-5141",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS GROUP NUMBER",
            "identifier": "174971",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5936066",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBC GROUP NUMBER",
            "identifier": "03161000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0550891",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0178860001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1521933",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zionsville Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Lara Little, LCSW
• Kyle David Miller
• Gregory Day Mondragon, CRNP
• Hannah Parker, RN
• Emily Rosak

• Family Medicine Physician in Zionsville, PA
• Providers in Zionsville, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.