Craig K Depoe, MD
Individual provider Active NPI Anesthesiology Physician · Lancaster, PA
NPI 1821088998 · NPPES record last updated Jul 13, 2007
Key facts
- NPI
- 1821088998
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- MD-063820-L (PA)
- Practice address
- 133 E Frederick St
Lancaster, PA 17602-2222 - Phone
- (717) 394-9821
- Fax
- (717) 394-0175
- NPI assigned
- Oct 28, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Hahnemann University College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lancaster General Hospital
Practice addresses (Care Compare)
555 N Duke St
Lancaster, PA 17602-2250
Hospital & facility affiliations
- Lancaster General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050519000814 | PA | Practitioner - Anesthesiology | 6507829256 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-063820-L | PA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lancaster General Hospital | Current |
Accepting new patients | |
| Lanaster General Hospital | Anesthesiology | Current |
Accepting new patients |
| Lancaster General Hospital | Current |
Accepting new patients | |
| Lancaster General Hospital | Current | Accepting new patients | |
| Lancaster General Hospital | Current |
Accepting new patients |
Locations
555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945
133 E Frederick St
Lancaster, PA 17602
Phone (717) 394-9821
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD-063820-L | PA | Yes |
Addresses
Primary practice location
133 E Frederick St
Lancaster, PA 17602-2222
Mailing address
133 E Frederick St
Lancaster, PA 17602-2222
Phone (717) 394-9821
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0016913160003 | Medicaid | PA |
Other providers in Lancaster, PA
- Steven B. Denlinger
- Jade Dennis
- Dental Professionals of Pennsylvania PC
- Brittany Leah Denton
- Garrett Harper Denzler
- Mary Elizabeth Depoe
- Ellen Michelle Depoy
- Hannah Heisinger Deppen
- Kathryn M Deprimo
- John K Derderian
All providers in Lancaster, PA · Anesthesiology 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 Jul 13, 2007. 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.
- Order and Referring (CMS).
- 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.