NPIMap

Organization Active NPI

Lancaster Medical Group, LLC

Doing business as General & Vascular Surgery of Lancaster

  • Surgery Physician
  • Lancaster, PA
National Provider Identifier
1487039699
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
LANCASTER MEDICAL GROUP, LLC
Doing business as
General & Vascular Surgery of Lancaster
Practice address
330 N Arch St
Lancaster, PA 17603-2929
Phone
(717) 735-7422
NPI assigned
Jul 29, 2015
Last updated
Jul 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Authorized official

Name
Dennis Hertz
Title
Practice Administrator
Phone
(717) 291-8078

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X

Addresses

Primary practice location

330 N Arch St
Lancaster, PA 17603-2929

Mailing address

330 N Arch St
Lancaster, PA 17603-2929
Phone (717) 735-7422

Other names 1

  • General & Vascular Surgery of Lancaster Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lancaster Medical Group LLC16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1487039699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N ARCH ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032929",
            "telephone_number": "717-735-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N ARCH ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032929",
            "telephone_number": "717-735-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "HERTZ",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "717-291-8078"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "General & Vascular Surgery of Lancaster",
            "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 Jul 29, 2015; 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.