Individual provider Active NPI

Tyler Galbreath, PA-C

  • Medical Physician Assistant
  • Lancaster, PA
National Provider Identifier
1841744653
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA058335 Issued in PA
Practice address
555 N Duke St
Lancaster, PA 17602-2250
Phone
(717) 682-9625
NPI assigned
Aug 9, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA058335 PA Primary

Addresses

Primary practice location

555 N Duke St
Lancaster, PA 17602-2250

Mailing address

555 N. Duke St.
Lancaster, PA 17602
Phone (717) 682-9625

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161022000003 PA Practitioner - Physician Assistant 3173801388 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

1701 Cornwall Rd
Lebanon, PA 17042-7480

2118 Spring Valley Rd
Lancaster, PA 17601-2427
Phone (215) 615-2222

3045 Marietta Ave
Lancaster, PA 17601-1321
Phone (717) 299-4644

418 Cloverleaf Rd
Elizabethtown, PA 17022-9320
Phone (717) 627-7696

426 Cloverleaf Rd
Elizabethtown, PA 17022-9320
Phone (717) 393-1900

432 Cloverleaf Rd
Elizabethtown, PA 17022-9320
Phone (717) 544-6350

51 Peters Rd
Lititz, PA 17543-7685

540 N Duke St
PM LGHP Urgent Care Duke St
Lancaster, PA 17602-2374
Phone (717) 544-6111

895 E Main St
Ephrata, PA 17522-2545

950 S Octorara Trail
Parkesburg, PA 19365-2100

950 S Octorara TRL
Parkesburg, PA 19365-2100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA058335PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Nov 13, 2017 Accepting new patients
Lancaster General Medical Group CurrentSince Nov 13, 2017 Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

1097 Commercial Ave
East Petersburg, PA 17520
Phone (717) 544-1952

2118 Spring Valley Rd
Lancaster, PA 17601
Phone (215) 615-2222

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

Interoperability endpoints

  • Direct secure messaging: tgalbreath121331@direct-lghealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1841744653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N. DUKE ST.",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17602",
            "telephone_number": "717-682-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022250",
            "telephone_number": "717-682-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALBREATH",
        "first_name": "TYLER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA058335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.