Organization Active NPI

Siegelbaum, Gunder & Lacey Gastroenterology

  • Specialist
  • Harrisburg, PA
National Provider Identifier
1821057605
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD021958E Issued in PA
Legal business name
SIEGELBAUM, GUNDER & LACEY GASTROENTEROLOGY
Doing business as
Siegelbaum, Gunder & Lacey Gastroenterology
Practice address
2626 N 3Rd St
Ste.3a
Harrisburg, PA 17110-2044
Phone
(717) 238-3111
Fax
(717) 238-1896
NPI assigned
Mar 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Deborah Jo Baish
Title
Office Manager
Phone
(717) 238-3111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD021958E PA Primary

Addresses

Primary practice location

2626 N 3Rd St
Ste.3a
Harrisburg, PA 17110-2044

Mailing address

2626 N 3Rd St
Ste.3a
Harrisburg, PA 17110-2044
Phone (717) 238-3111

Other names 1

  • Siegelbaum, Gunder & Lacey Gastroenterology Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821057605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 N 3RD ST",
            "address_2": "STE.3A",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171102044",
            "telephone_number": "717-238-3111",
            "fax_number": "717-238-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 N 3RD ST",
            "address_2": "STE.3A",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171102044",
            "telephone_number": "717-238-3111",
            "fax_number": "717-238-1896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIEGELBAUM, GUNDER & LACEY GASTROENTEROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAISH",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "717-238-3111",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD021958E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Siegelbaum, Gunder & Lacey Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.