Lancaster Pediatric Associates LTD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

LANCASTER PEDIATRIC ASSOCIATES LTD

Practice address

2106 Harrisburg Pike
Suite 1
Lancaster, PA 17601-2644

Phone

(717) 291-5931

Fax

(717) 291-5818

NPI assigned

Dec 21, 2005

Last updated

Jan 6, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

June A Ralston-Weidner

Title

Director of Operations

Phone

(717) 291-5931

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lora Mangus, M.D.

  • Pediatrics Physician
  • Lancaster, PA
  • NPI 1508850850
  Medicare reassignment NPD
• Lydia Murphy, CRNP

  • Pediatric Nurse Practitioner
  • Lancaster, PA
  • NPI 1134906597
  Medicare reassignment NPD
• Brett James Ostrander, DO

  • Pediatrics Physician
  • Lancaster, PA
  • NPI 1649663733
  Medicare reassignment NPD
• Mary Elizabeth Depoe, CRNP

  • Pediatric Nurse Practitioner
  • Lancaster, PA
  • NPI 1124004163
  Medicare reassignment
• Carrie Edwards, M.D.

  • Pediatrics Physician
  • Lancaster, PA
  • NPI 1215220066
  Medicare reassignment
• Pia Boben Fenimore, M.D.

  • Pediatrics Physician
  • Lancaster, PA
  • NPI 1205812237
  Medicare reassignment
• Jason L Gottlieb, MD

  • Pediatrics Physician
  • Lancaster, PA
  • NPI 1558379552
  Medicare reassignment
• Jill F High, M.D.

  • Pediatrics Physician
  • Lancaster, PA
  • NPI 1083826291
  Medicare reassignment
• Lindsay Marie Hodgson, CRNP

  • Pediatric Nurse Practitioner
  • Spring Grove, PA
  • NPI 1346914892
  Medicare reassignment
• Shakthi Kumar, M.D.

  • Pediatrics Physician
  • Lancaster, PA
  • NPI 1891772372
  Medicare reassignment
• Brent David Pawlson, M.D.

  • Pediatrics Physician
  • Lancaster, PA
  • NPI 1972589901
  Medicare reassignment
• Treva M Stanton, CRNP

  • Pediatric Nurse Practitioner
  • Lancaster, PA
  • NPI 1356471759
  Medicare reassignment

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1831175884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 HARRISBURG PIKE",
            "address_2": "SUITE 1",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-291-5931",
            "fax_number": "717-291-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 HARRISBURG PIKE",
            "address_2": "SUITE 1",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-291-5931",
            "fax_number": "717-291-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER PEDIATRIC ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "RALSTON-WEIDNER",
        "authorized_official_first_name": "JUNE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "717-291-5931"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lancaster Orthopedic Group, Inc.
• Lancaster Otolaryngology (Rosenfeld, Belser and Davis ENT)
• Lancaster Outpatient Imaging, LLC (Lancaster Breast Imaging)
• Lancaster Outpatient Imaging, LLC
• Lancaster PA Endoscopy ASC LLC (Lancaster Gastroenterology Procedure Center)
• Lancaster Pediatric Dental Associates, P.C.
• Lancaster Pet Partnership, LLP (Lancaster PET Imaging)
• Lancaster Pet Partnership, LLP (Lancaster PET Imaging)
• Lancaster Physical Therapy & Sports Medicine LLC
• Lancaster Physicians for Women LTD

• Primary Care Clinic/Center in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Primary Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.