Northern Lancaster County Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD007574E Issued in PA

Legal business name

NORTHERN LANCASTER COUNTY MEDICAL GROUP

Doing business as

WellSpan Family Health - Leacock

Practice address

3413 Harvest Dr
Gordonville, PA 17529-9586

Phone

(717) 768-7141

Fax

(717) 768-3528

NPI assigned

Jul 20, 2007

Last updated

May 5, 2015By 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

Dr. Charles David Noll, DO

Title

Vice President

Phone

(717) 859-5161

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WellSpan Family Health - Leacock Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Janice A Brightman, F.N.P.

  • Family Nurse Practitioner
  • Gordonville, PA
  • NPI 1578680997
  NPD (past)
• Jill Van Earl, CRNP

  • Family Nurse Practitioner
  • Gordonville, PA
  • NPI 1982607818
  NPD (past)

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1619177490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 OREGON PIKE",
            "address_2": "SUITE C",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175229550",
            "telephone_number": "717-859-5161",
            "fax_number": "717-859-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3413 HARVEST DR",
            "city": "GORDONVILLE",
            "state": "PA",
            "postal_code": "175299586",
            "telephone_number": "717-768-7141",
            "fax_number": "717-768-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN LANCASTER COUNTY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "NOLL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-859-5161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD007574E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013977730025",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellSpan Family Health - Leacock",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ambur Rae Gregorio
• Integrate Therapy and Wellness Collective
• Grace Loudon Meier, MD
• Kurestin Jade Miller, MD
• Samuel Miller
• Northern Lancaster County Medical Group (Harvest Drive Family Practice)
• Laura Poskitt, DO
• Stephen Paul Raffensperger, DDS
• Donna L Robinson, CRNP
• Darren Edward Stoltzfus, CRNP

• Family Medicine Physician in Gordonville, PA
• Providers in Gordonville, 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 May 5, 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.