Lancaster General Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LANCASTER GENERAL MEDICAL GROUP

Doing business as

Penn Medicine LGHP Central Virtual Care Services

Practice address

1097 Commercial Ave
East Petersburg, PA 17520-1648

Phone

(717) 588-1190

Fax

(717) 299-1745

NPI assigned

Jul 17, 2020

Organization subpart

No

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

Authorized official

Name

Gary Welch

Title

Chief Financial Officer

Phone

(717) 544-5658

Specialties & licenses 1

Addresses

Other names 1

• Penn Medicine LGHP Central Virtual Care Services Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Dawit Berhanu, MSN, RN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lancaster, PA
  • NPI 1811643935
  NPD
• Janene Boyette Ireland, CRNP FNP-BC

  • Family Nurse Practitioner
  • Hanover, PA
  • NPI 1407467848
  NPD
• Cindy Martinez, M.D.

  • Family Medicine Physician
  • Lancaster, PA
  • NPI 1841679537
  NPD
• Hyun W Shim, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lancaster, PA
  • NPI 1760919062
  NPD
• Mary Kay Stauffer, CRNP

  • Family Nurse Practitioner
  • York, PA
  • NPI 1407522808
  NPD
• Christopher Michael Washington, M.D.

  • Family Medicine Physician
  • Elizabethtown, PA
  • NPI 1174757744
  NPD

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1699383430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1097 COMMERCIAL AVE",
            "city": "EAST PETERSBURG",
            "state": "PA",
            "postal_code": "175201648",
            "telephone_number": "717-588-1190",
            "fax_number": "717-299-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 COMMERCIAL AVE",
            "city": "EAST PETERSBURG",
            "state": "PA",
            "postal_code": "175201648",
            "telephone_number": "717-588-1190",
            "fax_number": "717-299-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER GENERAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "717-544-5658"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "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 Central Virtual Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tammy Lucas King, PSYD
• Perry B Kubek, D.O.
• Mary Lou Kunkle, LPC
• Timothy J Labosh, M.D.
• Lancaster General Medical Group (Penn Medicine LGHP Family Medicine East Petersburg)
• Lancaster-Lebanon Intermediate Unit
• Jessica Lapp
• Chava Lathrop, RN
• Robin W. Lecrone, LPC
• Lehigh Valley Respiratory Care Lancaster LLC (Lehigh Valley Respiratory-Care Lancaster)

• Family Medicine Physician in East Petersburg, PA
• Providers in East Petersburg, 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 Jun 11, 2025; 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.