Lancaster General Medical Group
Organization Active NPI Family Medicine Physician · New Holland, PA
NPI 1801879259 · NPPES record last updated Nov 17, 2020
Key facts
- NPI
- 1801879259
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- LANCASTER GENERAL MEDICAL GROUP
- Practice address
- 676 E Main St
New Holland, PA 17557-1426 - Phone
- (717) 354-4671
- Fax
- (717) 354-2478
- NPI assigned
- Nov 21, 2005
- Organization subpart
- No
Authorized official
- Name
- Denise Kennedy
- Title
- Vice President Financial Services
- Phone
- (717) 544-5010
Practitioners 20
-
Susan Baldwin, CRNP
-
Kelly Field Bonneville, PA-C
-
Jami Lynn Buhler, PA-C
-
Sharon Eltz, M.D.
-
Lindsey M Fry, CRNP
-
Emily Miranda May, CRNP
-
Carrie Meyer, CRNP
-
Marianna Ruhl, CRNP
-
Rachel Lira Sensenig, FNP-BC
-
Gabriel Nathan Skolnick, PA-C
-
Benjamin Stabler, MD
-
Abby Stoltzfus, LMFT
-
Joan Brumbaugh Thode, M.D.
-
Brian O Wenger, LPC
-
Caitlin White, M.D.
-
Amy Schettino, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0188229 | LGHP/Penn New Holland Family Medicine | Certificate of waiver | May 18, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040309000916 | PA | Part B Supplier - Clinic/Group Practice | 0941103683 |
Receives reassigned benefits from 886 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
Locations
432 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 314-2618
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
676 E Main St
New Holland, PA 17557-1426
Mailing address
676 E Main St
New Holland, PA 17557-1426
Phone (717) 354-4671
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6345 | Other | PA | AETNA HMO |
| 03093500 | Other | PA | CAPITAL BLUE CROSS |
| 1007327490082 | Medicaid | PA | |
| CB0152 | Other | PA | RAILROAD MEDICARE |
| 1518493 | Other | PA | GATEWAY HEALTH PLAN |
| 5753 | Other | PA | AETNA CAP OFFICE# |
| S1QI | Other | PA | GEISINGER HEALTH PLAN |
| 020410 | Other | PA | HIGHMARK BLUE SHIELD |
| 5821111 | Other | PA | AETNA NON-HMO |
Other names
- Penn Medicine LGHP Family Medicine New Holland
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in New Holland, PA
- Roger Girard Kimber Jr.
- Kristen Lynn Klimkowski
- Christopher P. Knudsen
- Kathleen A Kreider
- Megan Marie Kwiatkowski
- Chester Albert Laskoski
- Katherine Josephine Lattanzio
- William Dakoda Leid
- Victoria Leinbach
- Leola Dental Associates
All providers in New Holland, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.