NPIMap

Individual provider Active NPI

Lori Lee Wallower, D.O.

  • Family Medicine Physician
  • Dillsburg, PA
National Provider Identifier
1629061601
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS006988L Issued in PA
Practice address
126 W Church St
Suite 200
Dillsburg, PA 17019-1280
Phone
(717) 432-2411
Fax
(717) 432-1409
NPI assigned
Aug 25, 2005
Last updated
Aug 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS006988L PA Primary

Addresses

Primary practice location

126 W Church St
Suite 200
Dillsburg, PA 17019-1280

Mailing address

100 N Academy Ave
Danville, PA 17822-4093
Phone (570) 271-6144

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lwallower121849@direct.geisinger.edu Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040930000173 PA Practitioner - Family Practice 7315916996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New England, College of Osteo Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1120 Cocoa Ave
Hershey, PA 17033-1712
Phone (717) 533-4141

126 W Church St
Suite 200
Dillsburg, PA 17019-1280
Phone (717) 432-2411

4230 Crums Mill Rd
Suite 100
Harrisburg, PA 17112-2898
Phone (717) 233-6171

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
65.84
Promoting interoperability
100
Improvement activities
40
Cost
77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS006988LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC CurrentSince Oct 1, 2022 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Penn State Health Medical Group, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

3 Jennifer Ct
Ste B
Carlisle, PA 17015
Phone (717) 245-2226

126 W Church St
Ste 200
Dillsburg, PA 17019
Phone (717) 432-2411

51 Business Campus Way
Ste 200
Duncannon, PA 17020
Phone (717) 834-3108

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

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

335 Lambs Gap Rd
Mechanicsburg, PA 17050
Phone (717) 591-1425

Organizations & group practices 4

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

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1629061601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224093",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W CHURCH ST",
            "address_2": "SUITE 200",
            "city": "DILLSBURG",
            "state": "PA",
            "postal_code": "170191280",
            "telephone_number": "717-432-2411",
            "fax_number": "717-432-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLOWER",
        "first_name": "LORI",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS006988L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lwallower121849@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "126 W Church St",
            "address_2": "Suite 200",
            "city": "Dillsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170191280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dillsburg, PA

Sources for this page

Verify at the official NPI Registry.