Active NPI
Lancaster Gastroenterology Procedure Center LLC
Doing business as Lancaster Gastroenterology Procedure Center
- Endoscopy Clinic/Center
- Lancaster, PA
National Provider Identifier
1720061831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endoscopy Clinic/Center
- License
- 17211501
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00068382 | Other | PA | RAILROAD MEDICARE |
| 1019852560001 | Medicaid | PA |
Other names 1
- Lancaster Gastroenterology Procedure Center
National Provider Directory
National Provider DirectoryNPI 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
- Lancaster Emergency Medical Services Association
- Lancaster Family Allergy LLC
- Lancaster Family Health
- Lancaster Foot Health Associates, LTD
- Lancaster Freedom Center
- Lancaster Gastroenterology, Inc.
- Lancaster General Health
- Lancaster General Health
- Lancaster General Health (Lancaster General health Infusion Center Pharmacy)
- Lancaster General Health Community Care Collaborative II, LLC (Penn Medicine LGHP Hematology/Oncology ABBCI)
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.