Individual provider Active NPI

Philip M Lenko, MD

  • Obstetrics & Gynecology Physician
  • Butler, PA
National Provider Identifier
1699752022
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD035007E Issued in PA
Practice address
901 E Brady St
Suite 100
Butler, PA 16001-4648
Phone
(724) 285-9200
Fax
(724) 285-9288
NPI assigned
Dec 28, 2005
Last updated
Jan 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD035007E PA Primary

Addresses

Primary practice location

901 E Brady St
Suite 100
Butler, PA 16001-4648

Mailing address

901 E Brady St
Suite 100
Butler, PA 16001-4648
Phone (724) 285-9200

Other identifiers 1

IdentifierTypeStateIssuer
0013441060001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD035007EPAMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1699752022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E BRADY ST",
            "address_2": "SUITE 100",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014648",
            "telephone_number": "724-285-9200",
            "fax_number": "724-285-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E BRADY ST",
            "address_2": "SUITE 100",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014648",
            "telephone_number": "724-285-9200",
            "fax_number": "724-285-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENKO",
        "first_name": "PHILIP",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD035007E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013441060001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.