HERITAGE MEDICAL GROUP, LLP (NPI# 1558515809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558515809 |
| Entity Type | Organization |
| Organization Name | HERITAGE MEDICAL GROUP, LLP |
| Other Organization Name | STANLEY R. GOLDMAN, MD & ASSOCIATES |
| Practice Address |
4700 Union Deposit Rd Suite 120 Harrisburg PA 17111-3774 |
| Mailing Address |
3 Walnut St Suite 206 Lemoyne PA 17043-1168 |
| Practice Telephone | 7175459666 |
| Practice Fax Number | 7175451546 |
| Mailing Telephone | 7177610208 |
| Mailing Fax Number | 7177612023 |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2009-05-29 |
| 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 | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Stanley R. Goldman, MD & 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 |
| 1053550715 | Heritage Medical Group, LLP | Psychiatry & Neurology | 110 Lowther St, Lemoyne, PA 17043-2012 | 2009-02-19 |
| 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 |
| Street Address |
4700 UNION DEPOSIT RD SUITE 120 |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17111-3774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396741013 | Yoke Y Tan | Pediatrics | 4700 Union Deposit Rd, Ste 220, Harrisburg, PA 17111-3774 | 2005-06-27 |
| 1932519410 | Alexander Richard Szeles II | Ophthalmology | 4700 Union Deposit Rd, Ste 220, Harrisburg, PA 17111-3774 | 2014-05-05 |
| 1063850782 | Pinnacle Health Medical Services | Nurse Practitioner | 4700 Union Deposit Rd, Suite 120, Harrisburg, PA 17111-3774 | 2013-06-05 |
| 1114290848 | Pinnacle Health Medical Group Inc | Physician Assistant | 4700 Union Deposit Rd, Suite 120, Harrisburg, PA 17111-3774 | 2012-02-10 |
| 1306148580 | Jaimini K Patel | Dietitian, Registered | 4700 Union Deposit Rd, Suite 240 (hershey Kidney Specialists, Inc.), Harrisburg, PA 17111-3774 | 2010-11-22 |
| 1346565090 | Barry A Sherman, Dds | Dentist | 4700 Union Deposit Rd, Suite 210, Harrisburg, PA 17111-3774 | 2010-04-06 |
| 1205167863 | Apex Dental Smiles Corp. | Dentist | 4700 Union Deposit Rd, Suite 210, Harrisburg, PA 17111-3774 | 2010-01-21 |
| 1891953592 | Suneetha Vaddineni | Internal Medicine | 4700 Union Deposit Rd, Suite 240, Harrisburg, PA 17111-3774 | 2008-05-29 |
| 1851410633 | Kara Garcia | Pediatrics | 4700 Union Deposit Rd, Ste. 220, Harrisburg, PA 17111-3774 | 2007-03-29 |
| 1427115799 | Oculoplastic Consultants of Central Pa | Ophthalmology | 4700 Union Deposit Rd, #230, Harrisburg, PA 17111 | 2007-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417589011 | Brightwood Adult Day Care LLC | Clinic/Center | 5630 Derry Street, Harrisburg, PA 17111 | 2020-02-11 |
| 1114486008 | Candy Benson | Behavior Technician | 2225 Sycamore St Suite 240, Harrisburg, PA 17111 | 2019-03-19 |
| 1295203206 | Shannon Ingram | Behavior Technician | 2225 Sycamore St Suite 120, Harrisburg, PA 17111 | 2018-11-07 |
| 1255862678 | A Caring Hand Home Health Care LLC | Home Health | 5600 Derry St, Harrisburg, PA 17111 | 2017-03-27 |
| 1073067559 | Migliore Treatment Services LLC | Community/Behavioral Health | 60 S 41st St, Harrisburg, PA 17111 | 2016-08-12 |
| 1013384718 | Alina N Glazunova | Nurse Practitioner | 6010 Pindeale Court, Harrisburg, PA 17111 | 2015-08-28 |
| 1033551494 | Elizabeth Ann Campbell | Behavioral Analyst | 2225 Sycamore Street, Suite 120, Harrisburg, PA 17111 | 2013-07-25 |
| 1427320688 | Joseph J Trautlein | Allergy & Immunology | 6450 Colchester Ave, Harrisburg, PA 17111 | 2012-02-03 |
| 1083983019 | Bonsall Manfredi & Assoc, P.C. | Psychiatry & Neurology | 2600 Woodlawn Street, Harrisburg, PA 17111 | 2011-12-20 |
| 1083920045 | Mh Medical LLC | Durable Medical Equipment & Medical Supplies | 7412 Derry Street, Harrisburg, PA 17111 | 2010-08-27 |
| Find all providers in zip 17111 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531292 | Siddharth Goel | Internal Medicine | 205 S Front St Upmc Pinnacle, Internal Medicine Residen, Suite 3c, Harrisburg, PA 17104 | 2020-06-03 |
| 1225652696 | Uba Chinyere Udeh | Internal Medicine | 205 S Front St. Suite 3c, Harrisburg, PA 17104 | 2020-06-02 |
| 1659992147 | Manpreet Sidhu | Internal Medicine | Upmc Pinnacle Hospitals 205 S Front Street, Suite 3c, Harrisburg, PA 17104 | 2020-05-06 |
| 1548781602 | Olson Orenson Knight | Internal Medicine | 2501 N. Third Street, Harrisburg, PA 17110 | 2017-06-29 |
| 1952721128 | Michael John Mesaros Jr. | Internal Medicine | 5071 Bass Lake Dr, #2003, Harrisburg, PA 17111-5858 | 2014-04-25 |
| 1497185359 | Alfred Roger Chappelka Jr. | Internal Medicine | 1525 N. Front St Unit 202, Harrisburg, PA 17102 | 2013-11-13 |
| 1912347774 | Esther Chinedu Enu | Internal Medicine | 205 S. Front St, Harrisburg, PA 17101 | 2013-06-26 |
| 1568809812 | Silpa Kosuri | Internal Medicine | 205 S Front St Ste 3c, Harrisburg, PA 17104-1619 | 2013-05-28 |
| 1477841468 | Chad Michael Ward | Internal Medicine | 1199 Colonial Road, Harrisburg, PA 17712-1952 | 2011-07-12 |
| 1700079431 | Heather Elizabeth Stock | Internal Medicine | 4510 N Progress Ave, Harrisburg, PA 17110-3925 | 2007-08-27 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17111 |
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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.