Active NPI
Lancaster County Podiatry LLP
- Podiatrist
- Ephrata, PA
National Provider Identifier
1801873690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- LANCASTER COUNTY PODIATRY LLP
- Practice address
- 804 Grandview Dr
Ste 1
Ephrata, PA 17522-1635 - Phone
- (717) 733-2251
- NPI assigned
- Dec 22, 2005
- 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
- Charles S Yeager, DPM
- Title
- Partner
- Phone
- (717) 733-2251
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
804 Grandview Dr
Ste 1
Ephrata, PA 17522-1635
Mailing address
804 Grandview Dr
Ste 1
Ephrata, PA 17522-1635
Phone (717) 733-2251
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1515009 | Other | PA | GATEWAY |
| 561286 | Other | PA | AETNA |
| 0018077160005 | Medicaid | PA | |
| 02359500 | Other | PA | CAPITAL BLUE CROSS |
| 541613 | Other | PA | HIGHMARK BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
804 Grandview Dr
Ste 1
Ephrata, PA 17522
Phone (717) 627-2403
30 Copperfield Cir
Lititz, PA 17543
104 E Main St
Lititz, PA 17543
Phone (717) 626-1516
912 W Main St
Ste 202
New Holland, PA 17557
Phone (717) 656-8555
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Ephrata, PA
- NPI 1841277621
-
- Podiatrist
- Ephrata, PA
- NPI 1891772653
-
- Podiatrist
- Ephrata, PA
- NPI 1124005996
-
- Foot & Ankle Surgery Podiatrist
- Ephrata, PA
- NPI 1912261660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208304000000",
"number": "1801873690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 GRANDVIEW DR",
"address_2": "STE 1",
"city": "EPHRATA",
"state": "PA",
"postal_code": "175221635",
"telephone_number": "717-733-2251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 GRANDVIEW DR",
"address_2": "STE 1",
"city": "EPHRATA",
"state": "PA",
"postal_code": "175221635",
"telephone_number": "717-733-2251"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANCASTER COUNTY PODIATRY LLP",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-22",
"last_updated": "2008-04-16",
"status": "A",
"authorized_official_last_name": "YEAGER",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "717-733-2251",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1515009",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "561286",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018077160005",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "02359500",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "541613",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ephrata, PA
- Angela Marie Kurl, MS, OTR
- Samuel Seungkwon La, MD
- Ashley Nichole Ladoski, CPHT
- Darshan Lal, MD
- Donald J Lambert, PAC
- Lancaster General Medical Group (Penn Medicine LGHP Family Medicine Lincoln)
- Lancaster General Medical Group (Penn Medicine LGHP Urgent Care Ephrata)
- Lancaster Health Associates P C Latanishen Chiropractic
- Lancaster Orthopedic Group, Inc.
- Lancaster Urological Group, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.