LANCASTER MEDICAL GROUP, LLC (NPI# 1346625688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346625688 |
| Entity Type | Organization |
| Organization Name | LANCASTER MEDICAL GROUP, LLC |
| Other Organization Name | COLUMBIA REGIONAL HEALTH CENTER |
| Practice Address |
1786c Columbia Ave Columbia PA 17512-9508 |
| Practice Telephone | 7176843663 |
| Mailing Telephone | 7176843663 |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-07-28 |
| Authorized Official Name | DENNIS HERTZ (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 7172918078 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Columbia Regional Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790160901 | Lancaster Medical Group, LLC | Podiatrist | 90 Good Dr Ste 101, Lancaster, PA 17603-4360 | 2015-07-29 |
| 1720463938 | Lancaster Medical Group, LLC | Pain Medicine | 233 College Ave Ste 101, Lancaster, PA 17603-3385 | 2015-07-29 |
| 1285019497 | Lancaster Medical Group, LLC | Internal Medicine | 233 College Ave Ste 201, Lancaster, PA 17603-3384 | 2015-07-29 |
| 1639554850 | Lancaster Medical Group, LLC | Surgery | 233 College Ave Ste 203, Lancaster, PA 17603-3385 | 2015-07-29 |
| 1811372022 | Lancaster Medical Group, LLC | Internal Medicine | 1725 Oregon Pike Ste 107, Lancaster, PA 17601-4206 | 2015-07-29 |
| 1932584141 | Lancaster Medical Group, LLC | Surgery | 1575 Highlands Dr Ste 201, Lititz, PA 17543-7507 | 2015-07-29 |
| 1508241845 | Lancaster Medical Group, LLC | Family Medicine | 960 E Main St, Mount Joy, PA 17552-9320 | 2015-07-28 |
| 1679958912 | Lancaster Medical Group, LLC | Internal Medicine | 1575 Highlands Dr Ste 205, Lititz, PA 17543-7507 | 2015-07-28 |
| 1386029593 | Lancaster Medical Group, LLC | Otolaryngology | 2160 Noll Dr Ste 200, Lancaster, PA 17603-7608 | 2015-07-29 |
| 1487039699 | Lancaster Medical Group, LLC | Surgery | 330 N Arch St, Lancaster, PA 17603-2929 | 2015-07-29 |
| Street Address |
1786C COLUMBIA AVE |
| City | COLUMBIA |
| State | PA |
| Zip Code | 17512-9508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871554873 | John Martin Jensen Jr. | Family Medicine | 1786c Columbia Ave, Columbia, PA 17512-9508 | 2006-03-29 |
| 1790205938 | Pinnacle Health Regional Physicians | Internal Medicine | 1786c Columbia Ave, Columbia, PA 17512-9508 | 2017-06-20 |
| 1174843643 | Mark Steven Gottlieb | Family Medicine | 1786c Columbia Ave, Columbia, PA 17512-9508 | 2010-06-08 |
| 1497774186 | Jung Sook Lee | Family Medicine | 1786c Columbia Ave, Columbia, PA 17512-9508 | 2006-07-19 |
| 1467419572 | Eugene John Romano | Family Medicine | 1786c Columbia Ave, Columbia, PA 17512-9508 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912405515 | Alyssa Carter | Counselor | 610 Poplar Street, Columbia, PA 17512 | 2018-01-29 |
| 1598943276 | Tw Ponessa and Associates Counseling Services Inc | Community/Behavioral Health | 200 North Fifth Street, Columbia, PA 17512 | 2008-02-05 |
| 1821275140 | T W Ponessa and Associates Counseling Services Inc | Community/Behavioral Health | 50 South Sixth Street, Columbia, PA 17512 | 2008-01-29 |
| 1447431382 | David H Landis | Chiropractor | 547 Locust St, Columbia, PA 17512 | 2007-11-20 |
| 1902940976 | Drug and Alcohol Rehabiliation Services, Inc. | Clinic/Center | 1290 Prospect Road, Columbia, PA 17512 | 2007-02-16 |
| 1790791580 | Blake Keith Staker | Chiropractor | 46 South 18th Street, Columbia, PA 17512 | 2006-07-31 |
| 1942266630 | William Brian Kraft | Chiropractor | 501 S 9th St, Columbia, PA 17512 | 2006-04-22 |
| 1063954501 | Kelsey Czekai | Family Medicine | 369 Locust Street, First Floor, Columbia, PA 17512 | 2016-11-15 |
| 1982009981 | 4urx | Pharmacy | 960 Lancaster Ave, Ste 2 Rear, Columbia, PA 17512 | 2014-11-03 |
| 1194994830 | Landis Family Chiropractic | Chiropractor | 547 Locust St, Columbia, PA 17512 | 2008-02-27 |
| Find all providers in zip 17512 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447868005 | Brittany Mechelle Waterworth | Family Medicine | 3700 I 70 Dr Se Ste 106, Columbia, MO 65201-6587 | 2020-07-20 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1457977563 | Jenny Tatiana Gonzalez Guzman | Family Medicine | Prisma Health Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-24 |
| 1942825500 | Jarvis Jamal Johnson | Family Medicine | Prisma Health Family Medicine Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-10 |
| 1386268183 | Nicolas Anthony Limogiannis | Family Medicine | Prisma Health Medical Group Family Medicine Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-08 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1275177420 | Palmetto Primary Care Physicians | Family Medicine | 1415 Blanding St Ste 2, Columbia, SC 29201-2922 | 2019-10-31 |
| 1558919852 | Synergos Medical, LLC | Family Medicine | 1703 Oak Cliff Pl, Columbia, MO 65203-4719 | 2019-08-29 |
| 1972156982 | Maury Regional Medical Group, Inc | Family Medicine | 2478 Nashville Hwy Ste A, Columbia, TN 38401-0634 | 2019-07-18 |
| Find all providers in COLUMBIA | ||||
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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.