Individual provider Active NPI

Joan Brumbaugh Thode, M.D.

  • Pediatrics Physician
  • Lancaster, PA
National Provider Identifier
1386904290
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD453839 Issued in PA
Practice address
540 N Duke St FL 3
Lancaster, PA 17602-2374
Phone
(717) 544-4950
Fax
(717) 544-5964
NPI assigned
May 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD453839 PA Primary

Addresses

Primary practice location

540 N Duke St FL 3
Lancaster, PA 17602-2374

Mailing address

540 N Duke St FL 3
Lancaster, PA 17602-2374
Phone (717) 544-4950

Other names 1

  • Joan Kristin Brumbaugh Former name

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
I20150730013180 PA Practitioner - Pediatric Medicine 9133433444 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Hospital CurrentSince Feb 1, 2017 Accepting new patients
Lancaster General Hospital CurrentSince Feb 1, 2017 Accepting new patients
Lancaster General Hospital Current Accepting new patients
Lancaster General Medical Group CurrentSince Sep 14, 2015 Accepting new patients
Lancaster General Medical Group CurrentSince Sep 14, 2015 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Medical Group Pediatrics Past Accepting new patients
Lancaster General Hospital Past Accepting new patients
Lancaster General Medical Group Past Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

160 N Pointe Blvd
Ste 110
Lancaster, PA 17601
Phone (717) 393-5887

1570 Fruitville Pike
Ste 100
Lancaster, PA 17601
Phone (717) 569-6481

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

540 N Duke St
Fl 3
Lancaster, PA 17602
Phone (717) 544-4950

51 Peters Rd
Ste 202
Lititz, PA 17543
Phone (717) 569-6481

317 Chestnut St
Quarryville, PA 17566
Phone (717) 544-3555

Interoperability endpoints

  • Direct secure messaging: jthode123082@direct-lghealth.org

Organizations & group practices 10

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": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1386904290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 N DUKE ST FL 3",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022374",
            "telephone_number": "717-544-4950",
            "fax_number": "717-544-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 N DUKE ST FL 3",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022374",
            "telephone_number": "717-544-4950",
            "fax_number": "717-544-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THODE",
        "first_name": "JOAN",
        "middle_name": "BRUMBAUGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD453839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "BRUMBAUGH",
            "middle_name": "KRISTIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.