Active NPI
Northern Lancaster County Medical Group
- Family Medicine Physician
- Akron, PA
National Provider Identifier
1992743900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- NORTHERN LANCASTER COUNTY MEDICAL GROUP
- Practice address
- 101 S 7TH St
Akron, PA 17501-1329 - Phone
- (717) 859-2112
- NPI assigned
- Jun 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Charles David Noll, DO
- Title
- Vice President
- Phone
- (717) 859-5161
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
101 S 7TH St
Akron, PA 17501-1329
Mailing address
4131 Oregon Pike
Suite C
Ephrata, PA 17522-9550
Phone (717) 859-5161
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013977730001 | Medicaid | PA | |
| 1748781 | Other | PA | BLUE SHIELD |
| 1520970 | Other | PA | GATEWAY |
| 2614987 | Other | PA | AETNA |
| 50051114 | Other | PA | BLUE CROSS |
| DD6938 | Other | PA | RAILROAD MEDICARE |
Other names 1
- Wellspan Family Medicine-Akron
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430784000000",
"number": "1992743900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4131 OREGON PIKE",
"address_2": "SUITE C",
"city": "EPHRATA",
"state": "PA",
"postal_code": "175229550",
"telephone_number": "717-859-5161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S 7TH ST",
"city": "AKRON",
"state": "PA",
"postal_code": "175011329",
"telephone_number": "717-859-2112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN LANCASTER COUNTY MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-02",
"last_updated": "2015-05-05",
"status": "A",
"authorized_official_last_name": "NOLL",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "717-859-5161",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013977730001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "1748781",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1520970",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2614987",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "50051114",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DD6938",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wellspan Family Medicine-Akron",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Akron, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.