Active NPI
Siegelbaum, Gunder & Lacey Gastroenterology
- Specialist
- Harrisburg, PA
National Provider Identifier
1821057605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD021958E
- 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, 2020
- 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
- Ms. Deborah Jo Baish
- Title
- Office Manager
- Phone
- (717) 238-3111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
National Provider Directory
National Provider DirectoryNPI 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.