Individual provider Active NPI

Lance O Yarus, DO

  • Orthopaedic Surgery Physician
  • Lebanon, PA
National Provider Identifier
1851367015
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
OS004974L Issued in PA
Practice address
410-12 Cumberland St
Lebanon, PA 17042-5314
Phone
(717) 274-3693
Fax
(717) 273-0152
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X OS004974L PA Primary

Addresses

Primary practice location

410-12 Cumberland St
Lebanon, PA 17042-5314

Mailing address

410-12 Cumberland St
Lebanon, PA 17042-5351
Phone (717) 274-3693

Other identifiers 1

IdentifierTypeStateIssuer
0011955790003MedicaidPA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040817000116 PA Practitioner - Orthopedic SurgeryPractitioner - Pain Management 5991778433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219104000000",
    "number": "1851367015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410-12 CUMBERLAND ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170425351",
            "telephone_number": "717-274-3693",
            "fax_number": "717-273-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410-12 CUMBERLAND ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170425314",
            "telephone_number": "717-274-3693",
            "fax_number": "717-273-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARUS",
        "first_name": "LANCE",
        "middle_name": "O",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2008-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OS004974L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011955790003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.