Organization Active NPI

Lawall at Hershey, Inc.

  • Prosthetic/Orthotic Supplier
  • Hershey, PA
National Provider Identifier
1477554400
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
6000006046 Issued in PA
Legal business name
LAWALL AT HERSHEY, INC.
Practice address
30 Hope Dr
Suite 2100
Hershey, PA 17033-2036
Phone
(717) 531-5882
Fax
(717) 531-4309
NPI assigned
Aug 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Authorized official

Name
Mr. Christopher Lawall, CPO
Title
Cpo/Clincial Manager
Phone
(717) 531-5882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 6000006046 PA Primary

Addresses

Primary practice location

30 Hope Dr
Suite 2100
Hershey, PA 17033-2036

Mailing address

8031 Frankford Ave
Philadelphia, PA 19136-2736
Phone (215) 338-6611

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930055206 PA DME Supplier - Certified Orth/Pros/Pedorthist 8224246996 Practice locations: Hershey, PA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Lawall at Hershey Inc30 Hope Dr 2100, Hershey, PA 17033-2036(717) 531-5882 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Jan 1, 2009

National Provider Directory

National Provider Directory
Tax ID family
Lawall at Hershey Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

2020 Good Hope Rd
Enola, PA 17025
Phone (717) 728-3636

314 Good Dr
Lancaster, PA 17603
Phone (717) 553-0693

8031 Frankford Ave
Philadelphia, PA 19136

Practitioners & affiliated clinicians

Practitioners 1

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": "1122854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1477554400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8031 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191362736",
            "telephone_number": "215-338-6611",
            "fax_number": "215-338-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HOPE DR",
            "address_2": "SUITE 2100",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332036",
            "telephone_number": "717-531-5882",
            "fax_number": "717-531-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWALL AT HERSHEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-01",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "LAWALL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CPO/CLINCIAL MANAGER",
        "authorized_official_telephone_number": "717-531-5882",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "PA",
            "license": "6000006046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.