Active NPI
Samuel Seungkwon La, MD
- Diagnostic Radiology Physician
- Ephrata, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD483989
- Practice address
- 169 Martin Ave
Ephrata, PA 17522-1734 - Phone
- (717) 738-6618
- NPI assigned
- May 15, 2006
- Last updated
- Feb 12, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | L6998 | TX | |
| Nuclear Radiology Physician | 2085N0904X | L6998 | TX | |
| Pediatric Radiology Physician | 2085P0229X | L6998 | TX | |
| Diagnostic Radiology Physician | 2085R0202X | L6998 | TX | |
| Diagnostic Radiology Physician | 2085R0202X | MD483989 | PA | Primary |
Addresses
Primary practice location
169 Martin Ave
Ephrata, PA 17522-1734
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other practice location 1
1201 Letort Springs Way
Carlisle, PA 17015-8011
Phone (717) 674-7600
Other practice location 2
35 Monument Rd Ste 201
York, PA 17403-5074
Phone (717) 812-4083
Other practice location 3
14781 Wolfe Rd
New Freedom, PA 17349-9571
Phone (717) 326-1880
Other practice location 4
35 Erick Rd
Lancaster, PA 17601-3111
Phone (717) 690-0785
Other practice location 5
252 S 4th St
Lebanon, PA 17042-6111
Phone (717) 270-7732
Other practice location 6
36 Robinhood Dr
Etters, PA 17319-9528
Phone (717) 388-7300
Other practice location 7
3901 W 15th St
Plano, TX 75075-7738
Phone (972) 596-6800
Other practice location 8
147 Gettys St
Gettysburg, PA 17325-2534
Phone (717) 337-4207
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8G8484 | Other | TX | MEDICARE PTAN |
| L6998 | Other | TX | TX PHYSICIANS PERMIT |
| 165035001 | Medicaid | TX |
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
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
169 Martin Ave
Ephrata, PA 17522-1724
Phone (717) 738-6414
Hospital & facility affiliations
- Wellspan Ephrata Community Hospital
- Wellspan Good Samaritan Hospital
- Gettysburg Hospital
- Wellspan York Hospital
- Lancaster General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Radiology Associates of North Texas PA | Body Imaging | Past | Accepting new patients |
Locations
169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311
147 Gettys St
Gettysburg, PA 17325
Phone (717) 334-2121
35 Erick Rd
Lancaster, PA 17601
Phone (717) 690-0785
252 S 4th St
Lebanon, PA 17042
Phone (717) 270-7500
1600 S George St
York, PA 17403
Phone (717) 848-3615
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
35 Monument Rd
Ste 201
York, PA 17403
Phone (717) 812-3712
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
Interoperability endpoints
- sla418468@wellspan.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
dba WellSpan Family Medicine - Meadowbrook
- Family Medicine Physician
- Leola, PA
- NPI 1033660550
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- Diagnostic Radiology Physician
- Fort Worth, TX
- NPI 1710970975
Body Imaging
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba WellSpan Ephrata Community Hospital
- General Acute Care Hospital
- Ephrata, PA
- NPI 1083615587
-
- General Acute Care Hospital
- Ephrata, PA
- NPI 1558558064
-
dba Ephrata Hospitalist Group
- Hospitalist Physician
- Ephrata, PA
- NPI 1700023041
-
dba WellSpan Ephrata Community Hospital
- Clinic/Center
- Ephrata, PA
- NPI 1548423684
Hospital
-
- General Acute Care Hospital
- Lancaster, PA
- NPI 1104875103
-
dba Parkesburg Outpatient Center
- General Acute Care Hospital
- Parkesburg, PA
- NPI 1245571942
-
dba WellSpan Gettysburg Hospital SPU
- Ambulatory Surgical Clinic/Center
- Gettysburg, PA
- NPI 1184882011
Hospital
-
- General Acute Care Hospital
- Gettysburg, PA
- NPI 1265466957
-
dba WellSpan Good Samaritan Hospital
- Ambulatory Surgical Clinic/Center
- Lebanon, PA
- NPI 1205902343
Hospital
-
dba WellSpan Good Samaritan Hospital
- General Acute Care Hospital
- Lebanon, PA
- NPI 1407928500
-
dba WellSpan Good Samaritan Hospital
- Emergency Medicine Physician
- Lebanon, PA
- NPI 1730754284
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770854400000",
"number": "1811948706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 MEMORY LN",
"city": "YORK",
"state": "PA",
"postal_code": "174022231",
"telephone_number": "717-851-1405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 MARTIN AVE",
"city": "EPHRATA",
"state": "PA",
"postal_code": "175221734",
"telephone_number": "717-738-6618"
}
],
"practiceLocations": [
{
"address_1": "1201 Letort Springs Way",
"address_purpose": "LOCATION",
"city": "Carlisle",
"state": "PA",
"postal_code": "170158011",
"country_code": "US",
"telephone_number": "717-674-7600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "35 Monument Rd Ste 201",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174035074",
"country_code": "US",
"telephone_number": "717-812-4083",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14781 Wolfe Rd",
"address_purpose": "LOCATION",
"city": "New Freedom",
"state": "PA",
"postal_code": "173499571",
"country_code": "US",
"telephone_number": "717-326-1880",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "35 Erick Rd",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176013111",
"country_code": "US",
"telephone_number": "717-690-0785",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "252 S 4th St",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170426111",
"country_code": "US",
"telephone_number": "717-270-7732",
"fax_number": "717-270-7639",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "36 Robinhood Dr",
"address_purpose": "LOCATION",
"city": "Etters",
"state": "PA",
"postal_code": "173199528",
"country_code": "US",
"telephone_number": "717-388-7300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3901 W 15th St",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750757738",
"country_code": "US",
"telephone_number": "972-596-6800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "147 Gettys St",
"address_purpose": "LOCATION",
"city": "Gettysburg",
"state": "PA",
"postal_code": "173252534",
"country_code": "US",
"telephone_number": "717-337-4207",
"fax_number": "717-337-4227",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LA",
"first_name": "SAMUEL",
"middle_name": "SEUNGKWON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "TX",
"license": "L6998",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "TX",
"license": "L6998",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "TX",
"license": "L6998",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "L6998",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD483989",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "8G8484",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX PHYSICIANS PERMIT",
"identifier": "L6998",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "165035001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ephrata, PA
- Kerry Lynn Kreider, MSOTR/L
- Robert Glenn Kreider, C.M.T., B.S.
- Prasad Krishnakurup, M.D
- Krystin Leigh Kristovensky, CRNP
- Angela Marie Kurl, MS, OTR
- Ashley Nichole Ladoski, CPHT
- Darshan Lal, MD
- Donald J Lambert, PAC
- Lancaster County Podiatry LLP
- Lancaster General Medical Group (Penn Medicine LGHP Family Medicine Lincoln)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.