Organization Active NPI

Lancaster Urological Group, Inc.

  • Urology Physician
  • Willow Street, PA
National Provider Identifier
1467683185
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
LANCASTER UROLOGICAL GROUP, INC.
Practice address
222 Willow Valley Lakes Dr
Willow Street, PA 17584-9670
Phone
(717) 464-9335
Fax
(717) 735-8154
NPI assigned
Jul 29, 2009
Organization subpart
Yes
Parent organization
LANCASTER UROLOGICAL GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Authorized official

Name
John David Bartges, M.D.
Title
President
Phone
(717) 397-4254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

222 Willow Valley Lakes Dr
Willow Street, PA 17584-9670

Mailing address

2110 Harrisburg Pike
Suite 1
Lancaster, PA 17601-2644
Phone (717) 397-4254

National Provider Directory

National Provider Directory
Part of
Lancaster Urol GRP Inc

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1467683185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 HARRISBURG PIKE",
            "address_2": "SUITE 1",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-397-4254",
            "fax_number": "717-735-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 WILLOW VALLEY LAKES DR",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175849670",
            "telephone_number": "717-464-9335",
            "fax_number": "717-735-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER UROLOGICAL GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LANCASTER UROLOGICAL GROUP, INC.",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "BARTGES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-397-4254",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Street, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.