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 Queen Street

Practice address

538 N Queen St Ste 100
Lancaster, PA 17603-3027

Phone

(717) 394-8908

Fax

(717) 207-0400

NPI assigned

Dec 5, 2024

Last updated

Dec 5, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

LANCASTER GENERAL MEDICAL GROUPAs reported in NPPES

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

Authorized official

Name

Denise Kennedy

Title

Vice President Operational Fin

Phone

(717) 544-5010

Specialties & licenses 1

Addresses

Other names 1

• Penn Medicine LGHP Family Medicine Queen Street Doing business as

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

Part of

Lancaster Rheumatology

Practitioners 5

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.

• Nicole Bender

  • Physician Assistant
  • Lancaster, PA
  • NPI 1316555899
  NPD
• Leila Hilal, MD

  • Family Medicine Physician
  • Leola, PA
  • NPI 1609506260
  NPD
• Stacey Erin Lattanze, PA-C

  • Medical Physician Assistant
  • Lebanon, PA
  • NPI 1629116728
  NPD
• Taylor Renninger

  • Physician Assistant
  • Lancaster, PA
  • NPI 1215897178
  NPD
• Emma Wilmeth, PA-C

  • Medical Physician Assistant
  • Lancaster, PA
  • NPI 1275325029
  NPD

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1700692779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 N CEDAR STREET",
            "address_2": "2ND FL 2084",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "17543",
            "telephone_number": "717-544-7279",
            "fax_number": "717-544-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 N QUEEN ST STE 100",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033027",
            "telephone_number": "717-394-8908",
            "fax_number": "717-207-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER GENERAL MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LANCASTER GENERAL MEDICAL GROUP",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "VICE PRESIDENT OPERATIONAL FIN",
        "authorized_official_telephone_number": "717-544-5010"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn Medicine LGHP Family Medicine Queen Street",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lancaster General Medical Group (Penn Medicine LGHP at Thaddeus Stevens Wellness Center)
• Lancaster General Medical Group (LGHP Pre-Procedure Testing)
• Lancaster General Medical Group (Penn Medicine LGHP NeuroScience & Spine Associates)
• Lancaster General Medical Group (Novara Health)
• Lancaster General Medical Group (Penn Medicine Lancaster General Health Physicians Surgical Group)
• Lancaster General Medical Group (Lancaster General Health Pediatric Specialists)
• Lancaster General Medical Group (Penn Medicine LGHP F&M Counseling)
• Lancaster General Medical Group (Penn Medicine LGHP Wound Care & Hyperbaric Medicine)
• Lancaster General Medical Group (Penn Medicine LGHP Palliative Care)
• Lancaster General Medical Group (Penn Medicine Lancaster General Health Physicians Infectious Diseases)

• Family Medicine Physician in Lancaster, PA
• Providers in Lancaster, 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 Dec 5, 2024; 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.