HERITAGE MEDICAL GROUP, LLP (NPI# 1053550715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053550715 |
| Entity Type | Organization |
| Organization Name | HERITAGE MEDICAL GROUP, LLP |
| Other Organization Name | PA NEUROLOGICAL ASSOCIATES |
| Practice Address |
110 Lowther St Lemoyne PA 17043-2012 |
| Mailing Address |
3 Walnut St Suite 206 Lemoyne PA 17043-1168 |
| Practice Telephone | 7177742202 |
| Practice Fax Number | 7177742634 |
| Mailing Telephone | 7177610208 |
| Mailing Fax Number | 7177612023 |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2010-04-15 |
| Authorized Official Name | DR. JOSEPH A. CINCOTTA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7177610208 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
PA | Allopathic & Osteopathic Physicians | |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007580840015 | 05 |
| Other Name | Type Code |
|---|---|
| PA Neurological Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760636815 | Heritage Medical Group, LLP | Nurse Practitioner | 4470 Valley Rd, Enola, PA 17025-1443 | 2008-11-14 |
| 1508972175 | Heritage Medical Group, LLP | Internal Medicine | 362 N Broadway Fl 2, Sleepy Hollow, NY 10591-2310 | 2006-08-23 |
| 1831494798 | Heritage Medical Group, LLP | Family Medicine | 40 2nd St, Highspire, PA 17034-1002 | 2011-01-24 |
| 1326368077 | Heritage Medical Group, LLP | Internal Medicine | 3 Walnut St, Suite 205, Lemoyne, PA 17043-1168 | 2010-06-04 |
| 1831338011 | Heritage Medical Group, LLP | Audiologist | 2025 Technology Pkwy, Suite G-03, Mechanicsburg, PA 17050-9400 | 2009-02-12 |
| 1417101643 | Heritage Medical Group, LLP | Physician Assistant | 845 Sir Thomas Ct, Suite 3, Harrisburg, PA 17109-4840 | 2008-11-14 |
| 1326292558 | Heritage Medical Group, LLP | Clinical Medical Laboratory | 3 Walnut St, Suite 101, Lemoyne, PA 17043-1168 | 2008-11-14 |
| 1912151143 | Heritage Medical Group, LLP | Radiology | 3 Walnut St, Suite 100, Lemoyne, PA 17043-1168 | 2008-11-14 |
| 1649424870 | Heritage Medical Group, LLP | Internal Medicine | 3 Walnut St, Suite 206, Lemoyne, PA 17043-1168 | 2008-11-14 |
| 1972757102 | Heritage Medical Group, LLP | Surgery | 532 N Front St, Wormleysburg, PA 17043-1016 | 2008-11-14 |
| Street Address |
110 LOWTHER ST |
| City | LEMOYNE |
| State | PA |
| Zip Code | 17043-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003907965 | Pennsylvania Neurological Associates Ltd | Psychiatry & Neurology | 110 Lowther St, Lemoyne, PA 17043-2012 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821591025 | Verber Dental Group, PC | Dentist | 819 Market Street, Fox Dental, Lemoyne, PA 17043 | 2018-03-14 |
| 1386065209 | Stephanie A Depalmer | Counselor | 20 Erford Rd Ste 101, Lemoyne, PA 17043 | 2013-12-18 |
| 1467662130 | Blanc Counseling Services | Nursing Care | 1017 Mumma Road, Suit 200, Wormleysburg, PA 17043 | 2007-05-23 |
| 1265516546 | Carol A Flory | Social Worker | 20 Erford Road, Suite # 101, Lemoyne, PA 17043 | 2006-10-24 |
| 1881615219 | James D Herbst | Optometrist | 717 Market St., Suite 112, Lemoyne, PA 17043 | 2006-07-21 |
| 1285669341 | Brian Kirby Fogarty | Psychologist | 426 S Third St, Ste 201, Lemoyne, PA 17043 | 2006-07-11 |
| 1316998966 | Conforti Rehabilitation Services, Inc. | Physical Therapist | 110 North 7th Street, Lemoyne, PA 17043 | 2006-05-16 |
| 1780632430 | Thomas E Becker II | Chiropractor | 501 Market St, Lemoyne, PA 17043 | 2006-05-05 |
| 1790756542 | Jack Edward Wilson | Surgery | 3 Walnut St Ste 100, Lemoyne, PA 17043 | 2006-01-30 |
| 1891779088 | Shelby R Sieber | Optometrist | 717 Market Street, Suite 112, Lemoyne, PA 17043 | 2005-12-01 |
| Find all providers in zip 17043 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003907965 | Pennsylvania Neurological Associates Ltd | Psychiatry & Neurology | 110 Lowther St, Lemoyne, PA 17043-2012 | 2006-09-27 |
| 1437580412 | Elena Kozochonok | Psychiatry & Neurology | 550 N 12th St, Lemoyne, PA 17043 | 2013-12-02 |
| 1669433587 | Charles S Yanofsky | Psychiatry & Neurology | 550 N 12th St, Lemoyne, PA 17043 | 2006-03-30 |
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| 1174149975 | Somerset Health Services, Inc. | Psychiatry & Neurology | 126 E Church St Ste 2300, Somerset, PA 15501-2272 | 2020-06-18 |
| 1730725771 | Jbj Investments LLC | Psychiatry & Neurology | 2170 Ferncroft Ln, Chester Springs, PA 19425-3846 | 2019-11-25 |
| 1619538865 | Unknown Azima Shaji | Psychiatry & Neurology | St. Luke's University and Health Network- Anderson, Medical Education Office- 1700, St. Luke's Blvd, Easton, PA 18045 | 2019-06-27 |
| 1629636790 | Catherine Rachel Craven | Psychiatry & Neurology | 1700 St Lukes Blvd Ofc, Easton, PA 18045-5670 | 2019-06-03 |
| 1073170569 | Charles P. Gennaula, M.d., P.C. | Psychiatry & Neurology | 100 Peasant Village Ln Ste 100, Rostraver Township, PA 15012-4333 | 2019-05-21 |
| 1902460876 | Pearlmed Pllc | Psychiatry & Neurology | 1510 Chester Pike Ste 160, Eddystone, PA 19022-1375 | 2019-04-26 |
| 1144787094 | Shobha Asthana Md PC | Psychiatry & Neurology | 100 Peasant Village Ln Ste 103, Rostraver Township, PA 15012-4333 | 2019-02-27 |
| 1972060176 | Ncv Diagnostics LLC | Psychiatry & Neurology | 1 Brown St Ste C, Philadelphia, PA 19123-3361 | 2019-02-23 |
| 1235609959 | Lower Merion Neurology, PC | Psychiatry & Neurology | 100 E Lancaster Ave Ste 161, Wynnewood, PA 19096-3427 | 2018-11-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.