Northern Lancaster County Medical Group

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

NORTHERN LANCASTER COUNTY MEDICAL GROUP

Doing business as

WellSpan Pulmonary & Sleep Medicine

Practice address

227 Granite Run Dr
Suite 110
Lancaster, PA 17601-6813

Phone

(717) 560-5156

Fax

(717) 560-5165

NPI assigned

May 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

Vice President

Phone

(717) 859-5161

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WellSpan Pulmonary & Sleep Medicine Doing business as

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1790736585",
    "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": "227 GRANITE RUN DR",
            "address_2": "SUITE 110",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016813",
            "telephone_number": "717-560-5156",
            "fax_number": "717-560-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN LANCASTER COUNTY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "NOLL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-859-5161",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013977730019",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellSpan Pulmonary & Sleep Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Pointe Dental Group LLP
• North Pointe Sugery Center LP
• North Pointe Surgery Center, LLC
• North Pointe Surgery Center, LP
• Northern Lancaster County Medical Group
• Jessica Nicole Norton, CRNP
• Tareck O Nossuli, M.D.
• Nova Quality Home Care Services Inc.
• Novara Health, LLC
• Lexie Noviello

• Pulmonary Disease Physician in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Pulmonary Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.