Organization Active NPI

Rebecca D. Lashbrook, MD, PC

  • Family Medicine Physician
  • Meadville, PA
National Provider Identifier
1386860310
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
REBECCA D. LASHBROOK, MD, PC
Practice address
280 Clinton CT
Meadville, PA 16335-3362
Phone
(814) 333-8277
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Authorized official

Name
Rebecca LashbrookNPI 1053305219
Title
Office Manager
Phone
(814) 333-8277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

280 Clinton CT
Meadville, PA 16335-3362

Mailing address

280 Clinton CT
Meadville, PA 16335-3362
Phone (814) 333-8277

Other identifiers 1

IdentifierTypeStateIssuer
1007502370005MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080507000281 PA Part B Supplier - Clinic/Group Practice 2961581590 Receives reassigned benefits from 2 practitioners
Practice locations: Meadville, PA

National Provider Directory

National Provider Directory

Locations

280 Clinton Ct
Meadville, PA 16335
Phone (814) 333-6288

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1386860310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CLINTON CT",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353362",
            "telephone_number": "814-333-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 CLINTON CT",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353362",
            "telephone_number": "814-333-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA D. LASHBROOK, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "LASHBROOK",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "814-333-8277"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007502370005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.