NPIMap

Organization Active NPI

Lanaster General Hospital

Doing business as Penn Medicine Lancaster General Health Interventional Psychiatry

  • Psychiatry Physician
  • Lancaster, PA
National Provider Identifier
1457067605
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
LANASTER GENERAL HOSPITAL
Doing business as
Penn Medicine Lancaster General Health Interventional Psychiatry
Practice address
555 North Duke Street
Endo Suite
Lancaster, PA 17602
Phone
(717) 544-5868
Fax
(717) 544-6461
NPI assigned
Jan 30, 2023
Last updated
Apr 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Gary A Welch
Title
Chief Operating Officer
Phone
(717) 544-5658

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

555 North Duke Street
Endo Suite
Lancaster, PA 17602

Mailing address

26 N Cedar St # 2084
Lititz, PA 17543-1514
Phone (717) 544-7279

Other names 1

  • Penn Medicine Lancaster General Health Interventional Psychiatry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040413001146 PA Part B Supplier - Hospital Department(S) 1254240039 Receives reassigned benefits from 34 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lancaster, PA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Manheim Fam HLTH Ctr45 organizations share this tax ID, including this one

Other organizations with this tax ID 44

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

View all 44

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1457067605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 N CEDAR ST # 2084",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175431514",
            "telephone_number": "717-544-7279",
            "fax_number": "717-544-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 NORTH DUKE STREET",
            "address_2": "ENDO SUITE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17602",
            "telephone_number": "717-544-5868",
            "fax_number": "717-544-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANASTER GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "717-544-5658"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn Medicine Lancaster General Health Interventional Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Penn Medicine Lancaster General Health Interventional Psychiatry",
            "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 Apr 25, 2025; 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.