LANCASTER UROLOGICAL GROUP, INC. (NPI# 1487885109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487885109 |
| Entity Type | Organization |
| Organization Name | LANCASTER UROLOGICAL GROUP, INC. |
| Practice Address |
1023 Poplar St Lebanon PA 17042-6636 |
| Mailing Address |
2110 Harrisburg Pike Suite 1 Lancaster PA 17601-2644 |
| Practice Telephone | 7176752060 |
| Practice Fax Number | 7176752062 |
| Mailing Telephone | 7173974254 |
| Mailing Fax Number | 7177358154 |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2009-10-13 |
| Authorized Official Name | JOHN DAVID BARTGES (PRESIDENT) |
| Authorized Official Telephone | 7176752060 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | LANCASTER UROLOGICAL GROUP, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497986111 | Lancaster Urological Group, Inc. | Urology | 175 Martin Ave, Suite 340, Ephrata, PA 17522-1761 | 2009-07-29 |
| 1467683185 | Lancaster Urological Group, Inc. | Urology | 222 Willow Valley Lakes Dr, Willow Street, PA 17584-9670 | 2009-07-29 |
| Street Address |
1023 POPLAR ST |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-6636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952392441 | Musaddiq Nadeem Nazeeri | Family Medicine | 1023 Poplar St, Lebanon, PA 17042-6636 | 2005-11-02 |
| 1104948082 | Musaddiq Nazeeri, Md, PC | Clinic/Center | 1023 Poplar St, Lebanon, PA 17042-6636 | 2007-04-04 |
| 1558394387 | Jane E Bates | Physician Assistant | 1023 Poplar St, Lebanon, PA 17042-6636 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104187632 | Jay Edmund Sulek | Urology | 1420 W Baddour Pkwy Ste 100, Lebanon, TN 37087 | 2012-05-31 |
| 1871818880 | Daniel Lee | Urology | 735 Norman Dr Ste B, Lebanon, PA 17042-7559 | 2010-04-01 |
| 1184686107 | Madhukar R Patel | Urology | 815 Norman Dr, Lebanon, PA 17042-7445 | 2006-04-05 |
| 1902308331 | Lancaster Urology | Urology | 1510 Cornwall Rd, Lebanon, PA 17042-7479 | 2018-03-01 |
| 1235655952 | Urology Associates PC | Urology | 1420 W Baddour Pkwy Ste 100, Lebanon, TN 37087-1510 | 2017-08-15 |
| 1558749846 | Good Samaritan Physician Services | Urology | 735 Norman Dr, Suite B, Lebanon, PA 17042-7497 | 2015-05-07 |
| 1003293887 | Gina Nicole Tundo | Urology | 1 Medical Center Dr, Dhmc, Lebanon, NH 03756-1000 | 2015-04-30 |
| 1578901195 | Michael Thomas Grant | Urology | One Medical Center Drive, Dartmouth Hitchcock - Urology, Lebanon, NH 03756-1000 | 2013-06-05 |
| 1033459854 | Spring View Physician Practice, LLC | Urology | 420 Loretto Rd, Suite 600, Lebanon, KY 40033-1628 | 2013-02-15 |
| 1174862304 | Mid-valley Healthcare, Inc. | Urology | 100 Mullins Dr, Suite D-3, Lebanon, OR 97355-2868 | 2013-02-07 |
| Find all providers in LEBANON | ||||
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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.