Organization Active NPI

Advanced Otolaryngology & Allergy LLC

Doing business as Advanced ENT and Allergy

  • Facial Plastic Surgery Physician
  • Hanover, PA
National Provider Identifier
1992082226
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
MD432200 Issued in PA
Legal business name
ADVANCED OTOLARYNGOLOGY & ALLERGY LLC
Doing business as
Advanced ENT and Allergy
Practice address
864 Broadway Ste 101
Hanover, PA 17331-1501
Phone
(717) 632-2221
Fax
(717) 965-7519
NPI assigned
Nov 15, 2011
Last updated
Feb 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Authorized official

Name
Lori Eichelberger
Title
Interim Office Manager
Phone
(717) 632-2221

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207NS0135X
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X MD432200 PA
Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YS0123X MD432200 PA Primary
Hearing and Speech Clinic/Center 261QH0700X
Multi-Specialty Clinic/Center 261QM1300X
Urgent Care Clinic/Center 261QU0200X
Hearing Aid Equipment 332S00000X

Addresses

Primary practice location

864 Broadway Ste 101
Hanover, PA 17331-1501

Mailing address

864 Broadway Ste 101
Hanover, PA 17331-1501
Phone (717) 632-2221

Other names 2

  • Advanced ENT and Allergy Doing business as
  • Target Health Urgent Care Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120202000604 PA Part B Supplier - Clinic/Group Practice 1456518463 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Hanover, PA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

864 Broadway
Hanover, PA 17331
Phone (717) 632-2221

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1992082226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 BROADWAY STE 101",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311501",
            "telephone_number": "717-632-2221",
            "fax_number": "717-965-7519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 BROADWAY STE 101",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311501",
            "telephone_number": "717-632-2221",
            "fax_number": "717-965-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED OTOLARYNGOLOGY & ALLERGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-15",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "EICHELBERGER",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "INTERIM OFFICE MANAGER",
        "authorized_official_telephone_number": "717-632-2221"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD432200",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "PA",
            "license": "MD432200",
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced ENT and Allergy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Target Health Urgent Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hanover, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.