Northern Lancaster County Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

193400000X Issued in PA

Legal business name

NORTHERN LANCASTER COUNTY MEDICAL GROUP

Practice address

2320 Rothsville Rd
Suite 200
Lititz, PA 17543-8215

Phone

(717) 721-4800

Fax

(717) 626-1613

NPI assigned

Jun 15, 2006

Organization subpart

No

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

Authorized official

Name

Charles David Noll, DO

Title

Senior Practice Manager

Phone

(717) 859-5161

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Wellspan Family & Pediatric Medicine - Rothsville Doing business as

Locations

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1750325189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 OREGON PIKE",
            "address_2": "SUITE C",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175229550",
            "telephone_number": "717-859-5161",
            "fax_number": "717-859-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 ROTHSVILLE RD",
            "address_2": "SUITE 200",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175438215",
            "telephone_number": "717-721-4800",
            "fax_number": "717-626-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN LANCASTER COUNTY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "NOLL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "SENIOR PRACTICE MANAGER",
        "authorized_official_telephone_number": "717-859-5161",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "193400000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1746277",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013977730011",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD6938",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellspan Family & Pediatric Medicine - Rothsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harvey Curtis Nicholson III, PH.D.
• Sean D Nickens, DMD
• Isaac Eugene Nivar, DO
• Pamela Lynn Noden, M.S., LPC, CAC
• Northern Lancaster County Medical Group
• Now I Can Foundation Northeast
• Now She Soars
• Now You Soar L. L. C.
• Tochukwu Arinze Nwosu, MB.BS
• Ellen M. O'Mara, D.O., F.A.O.C.R.

• Family Medicine Physician in Lititz, PA
• Providers in Lititz, 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 May 28, 2015; 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.