Qualicare

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

QUALICARE

Doing business as

LANCASTER WELLNESS

Practice address

974 Isabel Dr
Lebanon, PA 17042-7482

Phone

(215) 983-9441

NPI assigned

Aug 24, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Shavkat Ruziev, MDNPI 1578724308

Title

Ceo

Phone

(215) 983-9441

Specialties & licenses 1

Addresses

Other names 1

• LANCASTER WELLNESS Doing business as

Locations

Practitioners 1

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

• Shavkat R Ruziev, MD

  • Internal Medicine Physician
  • Harrisburg, PA
  • NPI 1578724308
  NPD Authorized official

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1437878386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 ISABEL DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427482",
            "telephone_number": "215-983-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 ISABEL DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427482",
            "telephone_number": "215-983-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALICARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "RUZIEV",
        "authorized_official_first_name": "SHAVKAT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-983-9441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LANCASTER WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nagamani Pullepu, M.D
• Ashley Pupo, PHARMD.
• David J Purcell
• Jennie Purcell
• Samir Ahmed Qasim, MD
• Quality Employment Services and Training, Inc.
• Radiant Light Counseling
• Michael Radkiewicz
• Eugene Raggi, M.D.
• Manish Rai, D.O.

• Community Health Clinic/Center in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Community Health Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.