Individual provider Active NPI

Larry L Sollenberger, M.D.

  • Colon & Rectal Surgery Physician
  • Harrisburg, PA
National Provider Identifier
1508875592
Registry record updated Dec 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
MD025582E Issued in PA
Practice address
3907 N Front St
Harrisburg, PA 17110
Phone
(717) 232-4567
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X MD025582E PA Primary

Addresses

Primary practice location

3907 N Front St
Harrisburg, PA 17110

Mailing address

3907 N Front St
Harrisburg, PA 17110-1536
Phone (717) 232-4567

Other practice location 1

3907 N Front St
Harrisburg, PA 17110
Phone (717) 232-4567

Other identifiers 1

IdentifierTypeStateIssuer
00962254MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lsollenberger20797@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081107000605 PA Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 1658351176 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD025582EPAMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Jan 1, 2018 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jan 1, 2018 Accepting new patients

Locations

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

3907 N Front St
Harrisburg, PA 17110
Phone (717) 232-4567

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608336000000",
    "number": "1508875592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 N FRONT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101536",
            "telephone_number": "717-232-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 N FRONT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "17110",
            "telephone_number": "717-232-4567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3907 N Front St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "17110",
            "country_code": "US",
            "telephone_number": "717-232-4567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLLENBERGER",
        "first_name": "LARRY",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2020-12-19",
        "certification_date": "2020-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "PA",
            "license": "MD025582E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00962254",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lsollenberger20797@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "3907 N Front St",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "17110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.