NPIMap

Organization Active NPI

Lebanon Emergency Physicians PC

  • Specialist
  • Lebanon, PA
National Provider Identifier
1508907262
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
LEBANON EMERGENCY PHYSICIANS PC
Practice address
4TH & Walnut St
Good Samaritan Hospital
Lebanon, PA 17042-1728
Phone
(717) 270-7740
Fax
(717) 270-3877
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Susan D Smith
Title
Business Manager
Phone
(717) 270-7740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

4TH & Walnut St
Good Samaritan Hospital
Lebanon, PA 17042-1728

Mailing address

4TH & Walnut St
PO Box 1281
Lebanon, PA 17042-1728
Phone (717) 270-7740

Other identifiers 3

IdentifierTypeStateIssuer
0012366710008MedicaidPA
661084OtherPABLUE SHIELD
03201400OtherPABLUE CROSS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1508907262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4TH & WALNUT ST",
            "address_2": "PO BOX 1281",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170421728",
            "telephone_number": "717-270-7740",
            "fax_number": "717-270-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4TH & WALNUT ST",
            "address_2": "GOOD SAMARITAN HOSPITAL",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170421728",
            "telephone_number": "717-270-7740",
            "fax_number": "717-270-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBANON EMERGENCY PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "717-270-7740"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012366710008",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "661084",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "03201400",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.