NORTHER LANCASTER COUNTY MEDICAL GROUP (NPI# 1508047606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508047606 |
| Entity Type | Organization |
| Organization Name | NORTHER LANCASTER COUNTY MEDICAL GROUP |
| Other Organization Name | WELLSPAN FAMILY MEDICINE - CROSSROADS |
| Practice Address |
4131 Oregon Pike Brownstown PA 17508-5083 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 7178591123 |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2015-03-31 |
| Authorized Official Name | KENNY HEINE (VP OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | OS004463L | PA | Suppliers |
| Other Name | Type Code |
|---|---|
| Wellspan Family Medicine - Crossroads | Doing Business As Name - Organization |
| Street Address |
4131 OREGON PIKE |
| City | BROWNSTOWN |
| State | PA |
| Zip Code | 17508-5083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578533089 | Susan A Mellinger | Family Medicine | 4131 Oregon Pike, Brownstown, PA 17508-0489 | 2006-01-25 |
| 1427686690 | Elizabeth Vanbuskirk | Occupational Therapist | 4131 Oregon Pike, Brownstown, PA 17508-5083 | 2020-04-01 |
| 1285120196 | Tina Marie Waters | Nurse Practitioner | 4131 Oregon Pike, Brownstown, PA 17508-5083 | 2018-07-03 |
| 1972054401 | Wellspan Medical Group | Family Medicine | 4131 Oregon Pike, Brownstown, PA 17508-5083 | 2016-10-19 |
| 1922456094 | Elsy Lucia Santizo Deleon | Family Medicine | 4131 Oregon Pike, Brownstown, PA 17508-5083 | 2016-05-31 |
| 1770909780 | Jonathan Adam Youngwirth | Acupuncturist | 4131 Oregon Pike, Brownstown, PA 17508-5083 | 2014-03-14 |
| 1629346408 | Asima N Ahmad | Family Medicine | 4131 Oregon Pike, Brownstown, PA 17508-5083 | 2011-12-07 |
| 1184817454 | Cary L Campanella | Family Medicine | 4131 Oregon Pike, Brownstown, PA 17508-0489 | 2007-08-21 |
| 1346271236 | Donna Kiser | Nurse Practitioner | 4131 Oregon Pike, Brownstown, PA 17508 | 2006-07-06 |
| 1871524751 | William E Longenecker | Family Medicine | 4131 Oregon Pike, Brownstown, PA 17508 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699075879 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 51 School Lane, Brownstown, PA 17508 | 2010-10-22 |
| 1083665038 | Northern Lancaster County Medical Group | Family Medicine | 4224 Oregon Pike, Brownstown, PA 17508 | 2006-05-15 |
| 1033682497 | Emily Walker | Registered Nurse | 27 N State St Apt 5, Brownstown, PA 17508-5080 | 2019-01-09 |
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932723806 | Cerner Health Connections, Inc | Non-Pharmacy Dispensing Site | 719 Dresher Rd Ste B, Horsham, PA 19044-2205 | 2020-06-05 |
| 1144844507 | Diamond Drugs, Inc. | Non-Pharmacy Dispensing Site | 665 Kolter Dr, Indiana, PA 15701-3570 | 2020-06-02 |
| 1023655602 | Dedicated Pennsylvania Holding, LLC | Non-Pharmacy Dispensing Site | 330 W Oregon Ave # 170, Philadelphia, PA 19148-4723 | 2019-12-03 |
| 1275193336 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 103 Nesbitt Rd, New Castle, PA 16105-3401 | 2019-06-19 |
| 1770141491 | R&r Eyewear Imports, Inc. | Non-Pharmacy Dispensing Site | 311 W Moreland Rd, Willow Grove, PA 19090-3107 | 2019-05-29 |
| 1174089858 | Centers for Advanced Urology, LLC | Non-Pharmacy Dispensing Site | 400 Davis Dr Ste 200a, Plymouth Meeting, PA 19462-1718 | 2019-02-18 |
| 1811469760 | Dermatology and Mohs Surgery Center PC | Non-Pharmacy Dispensing Site | 920 Lawn Ave Ste 6, Sellersville, PA 18960-1560 | 2018-12-17 |
| 1437624244 | Highpoint Pain & Rehabilitation Physicians | Non-Pharmacy Dispensing Site | 2 Village Road, Horsham, PA 19044 | 2018-10-08 |
| 1649768110 | Qpharma Inc | Non-Pharmacy Dispensing Site | 20 Highland Park Dr Ste 202, Uniontown, PA 15401-8968 | 2018-04-30 |
| 1215424536 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 1321 Fifth Ave Ste 1, Mckeesport, PA 15132-2403 | 2018-04-23 |
| Find all providers with the same taxonomy | ||||
| City | BROWNSTOWN |
| Zip Code | 17508 |
Please comment or provide details below to improve the information on NORTHER LANCASTER COUNTY MEDICAL GROUP.
| 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.