Organization Active NPI

Lancaster Gastroenterology Procedure Center LLC

Doing business as Lancaster Gastroenterology Procedure Center

  • Endoscopy Clinic/Center
  • Lancaster, PA
National Provider Identifier
1720061831
Registry record updated Nov 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
License
17211501 Issued in PA
Legal business name
LANCASTER GASTROENTEROLOGY PROCEDURE CENTER LLC
Doing business as
Lancaster Gastroenterology Procedure Center
Practice address
2112 Harrisburg Pike
Suite 323
Lancaster, PA 17601-2644
Phone
(717) 544-3569
Fax
(717) 544-3570
NPI assigned
Nov 22, 2005
Last updated
Nov 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2008

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

Authorized official

Name
Mr. Christopher A Holden
Title
Chief Manager of LLC
Phone
(615) 665-1283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X 17211501 PA Primary

Addresses

Primary practice location

2112 Harrisburg Pike
Suite 323
Lancaster, PA 17601-2644

Mailing address

2112 Harrisburg Pike
Suite 323
Lancaster, PA 17601-2644
Phone (717) 544-3569

Other identifiers 2

IdentifierTypeStateIssuer
P00068382OtherPARAILROAD MEDICARE
1019852560001MedicaidPA

Other names 1

  • Lancaster Gastroenterology Procedure Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226620800000",
    "number": "1720061831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 HARRISBURG PIKE",
            "address_2": "SUITE 323",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-544-3569",
            "fax_number": "717-544-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 HARRISBURG PIKE",
            "address_2": "SUITE 323",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-544-3569",
            "fax_number": "717-544-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER GASTROENTEROLOGY PROCEDURE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2008-11-14",
        "status": "A",
        "authorized_official_last_name": "HOLDEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF MANAGER OF LLC",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "PA",
            "license": "17211501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00068382",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019852560001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lancaster Gastroenterology Procedure Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

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