Active NPI
Jacqueline Jean Legrand, D.O.
- Pediatrics Physician
- Lancaster, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0S007660L
- Practice address
- 1570 Fruitville Pike
Ste 100
Lancaster, PA 17601-4056 - Phone
- (717) 569-6481
- Fax
- (717) 569-5213
- NPI assigned
- Jul 22, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0S007660L | PA | Primary |
Addresses
Primary practice location
1570 Fruitville Pike
Ste 100
Lancaster, PA 17601-4056
Mailing address
1570 Fruitville Pike
Ste 100
Lancaster, PA 17601-4056
Phone (717) 569-6481
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015110240001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0S007660L | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lancaster General Medical Group | Current | Accepting new patients | |
| Lancaster General Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Lancaster General Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Lancaster General Medical Group | Pediatrics | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Lancaster General Medical Group | Past | Accepting new patients |
Locations
1570 Fruitville Pike
Ste 100
Lancaster, PA 17601
Phone (717) 569-6481
3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644
51 Peters Rd
Ste 202
Lititz, PA 17543
Phone (717) 569-6481
2675 Joppa Rd
York, PA 17403
Phone (717) 741-9063
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
Interoperability endpoints
- jlegrand225344@direct-lghealth.org
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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-
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- NPI 1841285657
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
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- NPI 1225775919
-
- Family Medicine Physician
- Strasburg, PA
- NPI 1316912785
-
- Pediatrics Physician
- Lititz, PA
- NPI 1922073865
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670976000000",
"number": "1740280460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1570 FRUITVILLE PIKE",
"address_2": "STE 100",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176014056",
"telephone_number": "717-569-6481",
"fax_number": "717-569-5213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1570 FRUITVILLE PIKE",
"address_2": "STE 100",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176014056",
"telephone_number": "717-569-6481",
"fax_number": "717-569-5213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGRAND",
"first_name": "JACQUELINE",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-22",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "0S007660L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015110240001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
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 Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.