LANCASTER UROLOGICAL GROUP, INC. (NPI# 1497986111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497986111 |
| Entity Type | Organization |
| Organization Name | LANCASTER UROLOGICAL GROUP, INC. |
| Practice Address |
175 Martin Ave Suite 340 Ephrata PA 17522-1761 |
| Mailing Address |
2110 Harrisburg Pike Suite 1 Lancaster PA 17601-2644 |
| Practice Telephone | 7177334667 |
| Practice Fax Number | 7177358154 |
| 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 | 7173974254 |
| 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 |
|---|---|---|---|---|
| 1487885109 | Lancaster Urological Group, Inc. | Urology | 1023 Poplar St, Lebanon, PA 17042-6636 | 2009-07-29 |
| 1467683185 | Lancaster Urological Group, Inc. | Urology | 222 Willow Valley Lakes Dr, Willow Street, PA 17584-9670 | 2009-07-29 |
| Street Address |
175 MARTIN AVE SUITE 340 |
| City | EPHRATA |
| State | PA |
| Zip Code | 17522-1761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013909829 | Jane E. Hearren | Midwife | 175 Martin Ave, Ste 125, Ephrata, PA 17522-1761 | 2005-08-17 |
| 1437512258 | Robin Woollens Lynn | Obstetrics & Gynecology | 175 Martin Ave, Suite 125, Ephrata, PA 17522-1761 | 2016-03-30 |
| 1174941199 | Danica Beebe | Advanced Practice Midwife | 175 Martin Ave, Suite 125, Ephrata, PA 17522-1761 | 2014-04-07 |
| 1952735144 | Lori Jean Conley | Advanced Practice Midwife | 175 Martin Ave, Suite 125, Ephrata, PA 17522-1761 | 2013-08-25 |
| 1841637733 | Ephrata Community Hospital | Preventive Medicine | 175 Martin Ave, Suite 355, Ephrata, PA 17522-1761 | 2013-05-31 |
| 1245587740 | Sonia Shashank Shah | Obstetrics & Gynecology | 175 Martin Ave, Ephrata, PA 17522-1761 | 2012-08-14 |
| 1417215278 | Lucinda Grace Manges | Advanced Practice Midwife | 175 Martin Ave, Suite 125, Ephrata, PA 17522-1761 | 2012-04-30 |
| 1790083640 | Joy S Yoder | Advanced Practice Midwife | 175 Martin Ave, Suite 125, Ephrata, PA 17522-1761 | 2011-03-02 |
| 1861700643 | Keith Bumeder | Physician Assistant | 175 Martin Ave, Suite 340, Ephrata, PA 17522-1761 | 2010-09-15 |
| 1770737181 | Northern Lancaster County Medical Group | Surgery | 175 Martin Ave, Suite 350, Ephrata, PA 17522-1761 | 2008-11-12 |
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|---|---|---|---|---|
| 1427667336 | Indiju 4 Dental LLC | Clinic/Center | 4240 Oregeon Pk., Ephrata, PA 17522 | 2020-07-27 |
| 1134778251 | Anna Thornton | Pharmacist | Ephrata Outpatient Pharmacy-wellspan, 183 N. Reading Road, Suite 9, Ephrata, PA 17522 | 2019-09-11 |
| 1316320898 | Shivani Bista | Obstetrics & Gynecology | 175 Martin Ave Ste 125, Ephrata, PA 17522 | 2015-07-02 |
| 1336583475 | Ccjp, Inc. | In Home Supportive Care | 1060 S. State Street, Suite E, Ephrata, PA 17522 | 2013-04-19 |
| 1548503600 | Timothy Lawrence Basom | Physical Therapist | 136 E Lake St, Ephrata, PA 17522 | 2013-03-27 |
| 1316228406 | Cheryl L. Stephen | Nurse Practitioner | 466 N. Reading Rd, Suite 301, Ephrata, PA 17522 | 2011-09-01 |
| 1174833743 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 803 Oak Boulevard, Ephrata, PA 17522 | 2010-10-18 |
| 1487964953 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 957 Hammon Avenue, Ephrata, PA 17522 | 2010-10-18 |
| 1396957148 | Carl Richard Hankel | Nurse Practitioner | 4237 Oregon Pike, Worknet Occupational Medicine, Ephrata, PA 17522 | 2007-05-04 |
| 1396877726 | Regional Gastroenterology Associates of Lancaster, Ltd | Clinic/Center | 4140 Oregon Pike, Ephrata, PA 17522 | 2007-03-12 |
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| 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 |
|---|---|---|---|---|
| 1528560943 | Lancaster Urology PC | Urology | 175 Martin Ave Ste 300, Ephrata, PA 17522-1761 | 2018-03-01 |
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|---|---|---|---|---|
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| 1235779943 | Stacey Oberhauser | Urology | Center for Urologic Care of Berks County, 1320 Broadcasting Road, Suite 200, Wyomissing, PA 19610 | 2020-01-10 |
| 1558859645 | East Freedom Surgical Associates, LLC | Urology | 15721 Dunnings Hwy, Duncansville, PA 16635 | 2018-04-25 |
| 1841706561 | Urology of Central Pennsylvania, Inc | Urology | 815 Sir Thomas Ct Ste 100, Harrisburg, PA 17109-4839 | 2017-12-18 |
| 1003326869 | St Luke's Physician Group Inc | Urology | 5325 Northgate Dr Ste 203, Bethlehem, PA 18017-9413 | 2017-10-06 |
| 1952829350 | Centers for Advanced Urology, LLC | Urology | 140 W Germantown Pike Ste 250, Plymouth Meeting, PA 19462-1421 | 2017-09-06 |
| 1346767944 | Nazareth Physician Services | Urology | 2701 Holme Ave Ste 101, Phila, PA 19152-2029 | 2017-08-24 |
| 1710403191 | Mercy Management of Sepa | Urology | 501 S 54th St Ste 227, Phila, PA 19143-1900 | 2017-08-17 |
| 1386090025 | Somerset Health Services, Inc. | Urology | 223 S Pleasant Ave Ste 402, Somerset, PA 15501-2188 | 2016-05-12 |
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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.