Individual provider Active NPI

Anne Marie Calvello, PA-C

  • Physician Assistant
  • Lancaster, PA
National Provider Identifier
1982031092
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA056545 Issued in PA
Practice address
2102 Harrisburg Pike
Lancaster, PA 17601-2644
Phone
(717) 544-9400
Fax
(717) 544-9401
NPI assigned
Oct 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA056545 PA Primary

Addresses

Primary practice location

2102 Harrisburg Pike
Lancaster, PA 17601-2644

Mailing address

1030 New Holland Ave
BLDG 12a Suite 200
Lancaster, PA 17604-5690
Phone (717) 544-5028

Other identifiers 1

IdentifierTypeStateIssuer
103199767MedicaidPA

Other names 1

  • Anne Marie O'Holla Former name

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
I20131105000623 PA Practitioner - Physician Assistant 7416182167 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
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)

2100 Harrisburg Pike
Suite 2112
Lancaster, PA 17601-2644
Phone (717) 544-3216

2102 Harrisburg Pike
Lancaster, PA 17601-2644
Phone (717) 544-9400

2104 Harrisburg Pike
Suite 200
Lancaster, PA 17601-2644
Phone (717) 544-3626

2106 Harrisburg Pike
Lancaster, PA 17601-2644

2108 Harrisburg Pike
Lancaster, PA 17601-2644

2110 Harrisburg Pike
Lancaster, PA 17601-2644

2112 Harrisburg Pike
Lancaster, PA 17601-2644

2150 Harrisburg Pike
Suite 200a
Lancaster, PA 17601-2644
Phone (717) 544-3059

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

554 N Duke St
LGHP Penn Med Plastic and Cosmetic Surgery
Lancaster, PA 17602-2250
Phone (717) 291-5863

555 N Duke St
Lancaster, PA 17602-2250

555 N Duke St 1St Floor
LGHP Penn Medicine Behavioral Health
Lancaster, PA 17602-2250
Phone (717) 560-3782

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA056545PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Nov 1, 2013 Accepting new patients
Geisinger Clinic CurrentSince Nov 1, 2013 Accepting new patients
Lancaster General Medical Group CurrentSince May 21, 2018 Accepting new patients
Lancaster General Medical Group CurrentSince May 21, 2018 Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

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

2102 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 544-3600

554 N Duke St
Lancaster, PA 17602
Phone (717) 291-5863

Interoperability endpoints

  • Direct secure messaging: acalvello177402@direct-lghealth.org

Organizations & group practices 7

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": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1982031092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 NEW HOLLAND AVE",
            "address_2": "BLDG 12A SUITE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176045690",
            "telephone_number": "717-544-5028",
            "fax_number": "717-544-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 HARRISBURG PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-544-9400",
            "fax_number": "717-544-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVELLO",
        "first_name": "ANNE MARIE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103199767",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE MARIE",
            "last_name": "O'HOLLA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.