Lancaster General Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LANCASTER GENERAL MEDICAL GROUP

Doing business as

Penn Medicine LGHP at Thaddeus Stevens Wellness Center

Practice address

750 E King St
Lancaster, PA 17602-3113

Phone

(717) 299-7769

Fax

(717) 391-3561

NPI assigned

Aug 6, 2020

Last updated

Nov 16, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Denise Kennedy

Title

Vice President Financial Services

Phone

(717) 544-5010

Specialties & licenses 1

Addresses

Other names 1

• Penn Medicine LGHP at Thaddeus Stevens Wellness Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1609486414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 NEW HOLLAND AVE BLDG 12A",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176015690",
            "telephone_number": "717-544-7279",
            "fax_number": "717-544-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E KING ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176023113",
            "telephone_number": "717-299-7769",
            "fax_number": "717-391-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER GENERAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCIAL SERVICES",
        "authorized_official_telephone_number": "717-544-5010"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Penn Medicine LGHP at Thaddeus Stevens Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Penn Medicine LGHP at Thaddeus Stevens Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lancaster General Medical Group (Penn Medicine Manheim Township School District Health Center)
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• Lancaster General Medical Group (Penn Medicine Lancaster General Health Physicians Palliative Services)
• Lancaster General Medical Group (Penn Menopause Care Centerville)
• Lancaster General Medical Group (Penn Medicine LGHP Urgent Care Duke Street)
• Lancaster General Medical Group (LGHP Pre-Procedure Testing)
• Lancaster General Medical Group (Penn Medicine LGHP NeuroScience & Spine Associates)
• Lancaster General Medical Group (Novara Health)
• Lancaster General Medical Group (Penn Medicine Lancaster General Health Physicians Surgical Group)
• Lancaster General Medical Group (Penn Medicine LGHP Family Medicine Queen Street)

• Family Medicine Physician in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.