Active NPI
Mark Edward Lavallee, MD
- Sports Medicine (Family Medicine) Physician
- Mechanicsburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- MD060390L
- Practice address
- 2005 Technology Pkwy Ste 100
Mechanicsburg, PA 17050-9413 - Phone
- (717) 791-2620
- Fax
- (717) 791-2621
- NPI assigned
- Nov 2, 2005
- Last updated
- Apr 12, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD060390L | PA | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 01049328A | IN | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | MD060390L | PA | Primary |
Addresses
Primary practice location
2005 Technology Pkwy Ste 100
Mechanicsburg, PA 17050-9413
Mailing address
2005 Technology Pkwy Ste 100
Mechanicsburg, PA 17050-9413
Phone (717) 791-2620
Other practice location 1
1207 S Queen St
York, PA 17403-3922
Phone (717) 846-8869
Other practice location 2
320 Market St Ste 165
Harrisburg, PA 17101-2225
Phone (717) 988-9330
Other practice location 3
1830 Good Hope Rd
Enola, PA 17025-1233
Phone (717) 988-8135
Other practice location 4
689 Yorktown Rd Ste 204
Lewisberry, PA 17339-9258
Phone (717) 988-8351
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Pennsylvania State University College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2005 Technology Pkwy
Mechanicsburg, PA 17050-9413
Phone (717) 791-2620
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Regional Physicians | Family Medicine | Current | Accepting new patients |
| Wellspan Medical Group | Current | Accepting new patients | |
| York Hospital | Current | Accepting new patients | |
| Pinnacle Health Regional Physicians | Family Medicine | Current | Accepting new patients |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| York Hospital | Current | Accepting new patients | |
| Wellspan Medical Group | Family Medicine | Current | Accepting new patients |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| York Hospital | Family Medicine | Current | Accepting new patients |
| Pinnacle Health Medical Services | Family Medicine | Current | Accepting new patients |
| Pinnacle Health Medical Services | Past | Accepting new patients |
Locations
210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300
1830 Good Hope Rd
Enola, PA 17025
Phone (717) 732-8877
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
320 Market St
Ste 165
Harrisburg, PA 17101
Phone (717) 988-9330
4310 Londonderry Rd
Ste 1
Harrisburg, PA 17109
Phone (717) 561-4242
689 Yorktown Rd
Ste 204
Lewisberry, PA 17339
Phone (717) 791-2630
2005 Technology Pkwy
Ste 100
Mechanicsburg, PA 17050
Phone (717) 791-2620
1001 S George St
Bldg Mkb
York, PA 17403
Phone (717) 851-2521
1207 S Queen St
York, PA 17403
Phone (717) 846-8869
1600 S George St
York, PA 17403
Phone (717) 848-3615
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
605 S George St
Ste 200
York, PA 17401
Phone (717) 851-2334
Interoperability endpoints
- mlavallee538258@upmc.direct-ci.com
Organizations & group practices 12
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.
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
-
- Internal Medicine Physician
- Harrisburg, PA
- NPI 1013441690
Family Medicine
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
-
dba UPMC Gastroenterology Associates of Central PA
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
-
dba UPMC Women's Behavioral Health Specialists
- Psychiatry Physician
- Camp Hill, PA
- NPI 1609364090
-
dba Alexander Spring Family Medicine
- Family Medicine Physician
- Carlisle, PA
- NPI 1295265429
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
dba WellSpan Family Medicine
- Family Medicine Physician
- Ephrata, PA
- NPI 1508601147
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- York, PA
- NPI 1114885480
-
- Family Medicine Physician
- York, PA
- NPI 1881617132
-
dba PinnacleHealth Endocrinology Associates
- Endocrinology, Diabetes & Metabolism Physician
- Mechanicsburg, PA
- NPI 1518918523
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- York, PA
- NPI 1063945707
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1265537674
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1407813603
-
dba UPMC Pinnacle West Shore
- General Acute Care Hospital
- Mechanicsburg, PA
- NPI 1972613305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712880000000",
"number": "1679564330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 TECHNOLOGY PKWY STE 100",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170509413",
"telephone_number": "717-791-2620",
"fax_number": "717-791-2621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 TECHNOLOGY PKWY STE 100",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170509413",
"telephone_number": "717-791-2620",
"fax_number": "717-791-2621"
}
],
"practiceLocations": [
{
"address_1": "1207 S Queen St",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174033922",
"country_code": "US",
"telephone_number": "717-846-8869",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "320 Market St Ste 165",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171012225",
"country_code": "US",
"telephone_number": "717-988-9330",
"fax_number": "717-221-5690",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1830 Good Hope Rd",
"address_purpose": "LOCATION",
"city": "Enola",
"state": "PA",
"postal_code": "170251233",
"country_code": "US",
"telephone_number": "717-988-8135",
"fax_number": "717-221-5600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "689 Yorktown Rd Ste 204",
"address_purpose": "LOCATION",
"city": "Lewisberry",
"state": "PA",
"postal_code": "173399258",
"country_code": "US",
"telephone_number": "717-988-8351",
"fax_number": "717-221-5480",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAVALLEE",
"first_name": "MARK",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD060390L",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "IN",
"license": "01049328A",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "PA",
"license": "MD060390L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.