Active NPI
Gary J Scibal, M.D.
- Family Medicine Physician
- Lititz, PA
National Provider Identifier
1598740615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD019684E
- Practice address
- 562 W 2ND Ave
Lititz, PA 17543-1816 - Phone
- (717) 626-2167
- Fax
- (717) 626-1915
- NPI assigned
- Dec 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD019684E | PA | Primary |
Addresses
Primary practice location
562 W 2ND Ave
Lititz, PA 17543-1816
Mailing address
562 W 2ND Ave
Lititz, PA 17543-1816
Phone (717) 626-2167
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5472075 | Other | PA | AETNA NON-HMO |
| 01445802 | Other | PA | CAPITAL BLUE CROSS |
| 0006457200001 | Medicaid | PA | |
| B34269 | Other | PA | HEALTH ASSURANCE |
| 21388 S1QG | Other | PA | GEISINGER HEALTH PLAN |
| P002713 | Other | PA | GATEWAY HEALTH PLAN |
| 043855 | Other | PA | HIGHMARK BLUE SHIELD |
| 578402 | Other | PA | AETNA HMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188604800000",
"number": "1598740615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "562 W 2ND AVE",
"city": "LITITZ",
"state": "PA",
"postal_code": "175431816",
"telephone_number": "717-626-2167",
"fax_number": "717-626-1915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "562 W 2ND AVE",
"city": "LITITZ",
"state": "PA",
"postal_code": "175431816",
"telephone_number": "717-626-2167",
"fax_number": "717-626-1915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCIBAL",
"first_name": "GARY",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-12",
"last_updated": "2007-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD019684E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NON-HMO",
"identifier": "5472075",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "01445802",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006457200001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ASSURANCE",
"identifier": "B34269",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH PLAN",
"identifier": "21388 S1QG",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY HEALTH PLAN",
"identifier": "P002713",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "043855",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "578402",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lititz, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.