NPIMap

Organization Active NPI

Lancaster Medical Group, LLC

  • Otolaryngology Physician
  • Lancaster, PA
National Provider Identifier
1386029593
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
LANCASTER MEDICAL GROUP, LLC
Practice address
2160 Noll Dr Ste 200
Lancaster, PA 17603-7608
Phone
(717) 481-8720
NPI assigned
Jul 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Authorized official

Name
Dennis Hertz
Title
Practice Administrator
Phone
(717) 291-8078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

2160 Noll Dr Ste 200
Lancaster, PA 17603-7608

Mailing address

2160 Noll Dr Ste 200
Lancaster, PA 17603-7608
Phone (717) 481-8720

Other names 1

  • ENT - Head and Neck Surgery of Lancaster Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lancaster Medical Group LLC16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1386029593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 NOLL DR STE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176037608",
            "telephone_number": "717-481-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 NOLL DR STE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176037608",
            "telephone_number": "717-481-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "HERTZ",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "717-291-8078"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENT - Head and Neck Surgery of Lancaster",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 29, 2015; 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.