Organization Active NPI

Lancaster Urology PC

  • Urology Physician
  • Lebanon, PA
National Provider Identifier
1902308331
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
LANCASTER UROLOGY PC
Practice address
1510 Cornwall Rd
Lebanon, PA 17042-7479
Phone
(717) 723-4579
Fax
(717) 735-3904
NPI assigned
Mar 1, 2018
Organization subpart
Yes
Parent organization
LANCASTER UROLOGY PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Authorized official

Name
Shelvy Frank, RN MS
Title
Administrator
Phone
(717) 723-4579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

1510 Cornwall Rd
Lebanon, PA 17042-7479

Mailing address

2106 Harrisburg Pike Ste 200
Lancaster, PA 17601-2644
Phone (717) 393-1771

National Provider Directory

National Provider Directory
Part of
Urological Aso of Lancaster

NPI Registry JSON

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1902308331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 HARRISBURG PIKE STE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-393-1771",
            "fax_number": "717-735-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 CORNWALL RD",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427479",
            "telephone_number": "717-723-4579",
            "fax_number": "717-735-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER UROLOGY PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LANCASTER UROLOGY PC",
        "enumeration_date": "2018-03-01",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "SHELVY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "717-723-4579",
        "authorized_official_credential": "RN MS"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.