Lock Haven Emergency Physicians PLLC
Organization Active NPI Emergency Medicine Physician · Lock Haven, PA
NPI 1710201322 · NPPES record last updated May 11, 2021
Key facts
- NPI
- 1710201322
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- LOCK HAVEN EMERGENCY PHYSICIANS PLLC
- Practice address
- 24 Cree Dr
Lock Haven, PA 17745-2639 - Phone
- (570) 893-5000
- NPI assigned
- Mar 25, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. David S. Schillinger, MD
- Title
- President
- Phone
- (800) 893-9698
Practitioners 56
-
James W Freeman, MD
-
Mohammed Rafik Jendi, M.D.
-
Ashish Bagal, MD, PHD
-
James A Caffrey, D.O.
-
Matthew T Ebling, MD
-
James Clifford Edwards, M.D.
-
Murty S Ganti, M.D
-
Taylor Haas, DO, MBA
-
Robert Lee Hill, M.D.
-
Bret M Levy, MD PHD
-
Andrea Liebersohn, CRNP
-
Scott A Lintz, DO
-
Ovais Maqbool, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100813000754 | PA | Part B Supplier - Clinic/Group Practice | 0547394447 |
Receives reassigned benefits from 48 practitioners Practice locations: Lock Haven, PA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes | ||
| Internal Medicine Physician |
207R00000X | |||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
24 Cree Dr
Lock Haven, PA 17745-2639
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1024408140001 | Medicaid | PA | |
| DQ6250 | Other | PA | RR MEDICARE |
| 184309 | Other | PA | MEDICARE PIN |
Other providers in Lock Haven, PA
- Grace Fae Lippincott
- Jessica A Little
- Lock Haven Clinic Company, LLC
- Lock Haven Ear Nose & Throat PC
- Lock Haven Emergency Medical Services
- Lock Haven Home Care Services LLC
- Lock Haven Home Care Services LLC
- Lock Haven Medical Center Inc
- Lock Haven Medical Center, Inc
- Lock Haven Medical Professionals PC
All providers in Lock Haven, PA · Emergency Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.