Active NPI
Cordell E Oberholtzer, BA
- Behavior Analyst
- Lancaster, PA
National Provider Identifier
1992083455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 302 W Orange St
Lancaster, PA 17603-3749 - Phone
- (717) 392-8848
- Fax
- (717) 397-5290
- NPI assigned
- Aug 1, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
302 W Orange St
Lancaster, PA 17603-3749
Mailing address
200 N 7TH St
Lebanon, PA 17046-5040
Phone (717) 273-1710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312934400000",
"number": "1992083455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N 7TH ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "170465040",
"telephone_number": "717-273-1710",
"fax_number": "717-273-1416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 W ORANGE ST",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176033749",
"telephone_number": "717-392-8848",
"fax_number": "717-397-5290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBERHOLTZER",
"first_name": "CORDELL",
"middle_name": "E",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-01",
"last_updated": "2011-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, PA
- Kelsey O'Shea, DPT
- Latrease Oatis, LPN
- OB-GYN of Lancaster Inc
- OB-GYN of Lancaster, Inc Adv Nursing Prov
- Brittany Ober
- Adanna Ursula Obidiegwu, OD
- Consolate Oburu-Bindom, CRNP
- Occupational Health Centers of the Southwest P.a.
- Occupational Health Centers of the Southwest P.a.
- Occupational Health Centers of the Southwest P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.