Lancaster General Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LANCASTER GENERAL MEDICAL GROUP

Doing business as

Penn Medicine LGHP Family Medicine Sycamore Square

Practice address

99 Masonic Dr
Suite 101
Elizabethtown, PA 17022-2547

Phone

(717) 689-4243

Fax

(717) 689-1950

NPI assigned

Jan 16, 2013

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 A Kennedy

Title

VP Financial Services

Phone

(717) 544-5010

Specialties & licenses 2

Addresses

Other names 1

• Penn Medicine LGHP Family Medicine Sycamore Square Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 17

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.

• Carlton Philip Baer

  • Family Medicine Physician
  • Elizabethtown, PA
  • NPI 1922635705
  NPD
• Sheetal J Gade, CRNP

  • Family Nurse Practitioner
  • Mount Joy, PA
  • NPI 1164931630
  NPD
• Kristen Leigh Hess, D.O.

  • Family Medicine Physician
  • Reading, PA
  • NPI 1730443649
  NPD
• John Hoover, M.D.

  • Family Medicine Physician
  • Elizabethtown, PA
  • NPI 1578975298
  NPD
• Prudence Jarvie-Kupetz, CRNP

  • Women's Health Nurse Practitioner
  • Lancaster, PA
  • NPI 1538991815
  NPD
• Erica Lynn Jones, CRNP- FAMILY HEALTH

  • Nurse Practitioner
  • Elizabethtown, PA
  • NPI 1437747326

  Family Medicine

  NPD
• Daniel Gary Megivern, MD

  • Family Medicine Physician
  • Lebanon, PA
  • NPI 1528115730
  NPD
• Olivia Taylor Morris

  • Primary Care Nurse Practitioner
  • Elizabethtown, PA
  • NPI 1558126573
  NPD
• Amy A Myers, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Lancaster, PA
  • NPI 1104802040
  NPD
• Laura Marcela Pastrana Gutierrez, PA-C

  • Physician Assistant
  • Lancaster, PA
  • NPI 1659941763
  NPD
• Terri Lynne Rapp, M.D.

  • Obstetrics & Gynecology Physician
  • Lancaster, PA
  • NPI 1659368736
  NPD
• Matthew Francis Regan, MD

  • Family Medicine Physician
  • Elizabethtown, PA
  • NPI 1538412325
  NPD

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1649517236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 MASONIC DR",
            "address_2": "SUITE 101",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170222547",
            "telephone_number": "717-689-4243",
            "fax_number": "717-689-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 MASONIC DR",
            "address_2": "SUITE 101",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170222547",
            "telephone_number": "717-689-4243",
            "fax_number": "717-689-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER GENERAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP FINANCIAL SERVICES",
        "authorized_official_telephone_number": "717-544-5010"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Family Medicine Sycamore Square",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rashmi Kumari
• L L Mulhollem Counseling and Psychotherapy, LLC
• Kari Labagh, DACM
• Lancaster General Medical Group (Penn Medicine LGHP Urgent Care - Norlanco)
• Lancaster General Medical Group (Penn Medicine LGHP Family Medicine Norlanco)
• Lancaster Hma Physician Management Inc. (Women's LifeCare of Lancaster)
• Briana J Landis
• Rebecca Brooke Lane, PA-C
• Leisa Lynn Leber, LMT
• Susan Marie Leclerc, M.D.

• Family Medicine Physician in Elizabethtown, PA
• Providers in Elizabethtown, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.