NPIMap

Organization Active NPI

Dermatology Physicians Inc.

  • Dermatology Physician
  • Lancaster, PA
National Provider Identifier
1891766424
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DERMATOLOGY PHYSICIANS INC.
Practice address
203 N Lime St
Lancaster, PA 17602-2729
Phone
(717) 392-6267
Fax
(717) 392-6059
NPI assigned
Jan 31, 2006
Last updated
Sep 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Authorized official

Name
Dr. Robert Roschel, M.D.NPI 1891763421
Title
Ceo
Phone
(717) 392-6267

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X PA Primary

Addresses

Primary practice location

203 N Lime St
Lancaster, PA 17602-2729

Mailing address

203 N Lime St
Lancaster, PA 17602-2729
Phone (717) 392-6267

Other identifiers 2

IdentifierTypeStateIssuer
51777OtherPAAENTA
02431000OtherPACAPITAL BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050414000036 PA Part B Supplier - Clinic/Group Practice 4082651765 Receives reassigned benefits from 19 practitioners
Practice locations: Columbia, PA; Ephrata, PA; Lancaster, PA; Willow Street, PA

National Provider Directory

National Provider Directory

Locations

259 N 6th St
Columbia, PA 17512
Phone (717) 684-0507

3440 Rothsville Rd
#B
Ephrata, PA 17522
Phone (717) 738-4334

2106 Harrisburg Pike
Ste 314
Lancaster, PA 17601
Phone (717) 544-3575

230 Harrisburg Ave
Lancaster, PA 17603
Phone (717) 293-2784

203 N Lime St
Lancaster, PA 17602
Phone (717) 392-6267

222 Willow Valley Lakes Dr
Ste 1300
Willow Street, PA 17584
Phone (717) 464-0113

Practitioners & affiliated clinicians

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316131200000",
    "number": "1891766424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N LIME ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022729",
            "telephone_number": "717-392-6267",
            "fax_number": "717-392-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N LIME ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022729",
            "telephone_number": "717-392-6267",
            "fax_number": "717-392-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY PHYSICIANS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2011-09-16",
        "status": "A",
        "authorized_official_last_name": "ROSCHEL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "717-392-6267",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AENTA",
            "identifier": "51777",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02431000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.