PENN SURGERY INSTITUTE (NPI# 1588609986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588609986 |
| Entity Type | Organization |
| Organization Name | PENN SURGERY INSTITUTE |
| Practice Address |
554 N Duke St Lancaster PA 17602-2225 |
| Practice Telephone | 7172993524 |
| Practice Fax Number | 7172993552 |
| Mailing Telephone | 7172993524 |
| Mailing Fax Number | 7172993552 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT MATHEWS (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7172993524 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
10651500 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | STATE LICENSE NUMBER | 10651500 | 01 |
| Street Address |
554 N DUKE ST |
| City | LANCASTER |
| State | PA |
| Zip Code | 17602-2225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780688663 | Karen Anne Suppi | Nurse Anesthetist, Certified Registered | 554 N Duke St, Ste.2, Lancaster, PA 17602-2225 | 2005-06-09 |
| 1508415761 | Marissa Thomas | Counselor | 554 N Duke St, Lancaster, PA 17602-2225 | 2019-09-10 |
| 1619447927 | Chelsea Varner | Physician Assistant | 554 N Duke St, Lancaster, PA 17602-2225 | 2018-11-29 |
| 1821451139 | University of Penn-medical Group | Internal Medicine | 554 N Duke St, 3rd Floor Renal Transplant, Lancaster, PA 17602-2225 | 2016-04-04 |
| 1902269210 | University of Penn-medical Group | Surgery | 554 N Duke St, 3rd Floor, Lancaster, PA 17602-2225 | 2016-04-04 |
| 1043670805 | University of Penn-medical Group | Internal Medicine | 554 N Duke St, 3rd Floor Gi Transplant, Lancaster, PA 17602-2225 | 2016-03-07 |
| 1245504422 | Lancaster General Medical Group | Surgery | 554 N Duke St, Lancaster, PA 17602-2225 | 2012-03-06 |
| 1538328653 | Lancaster General Hospital | Family Medicine | 554 N Duke St, 3rd Floor, Lancaster, PA 17602-2225 | 2008-06-04 |
| 1780883819 | Milorad Marjanovic | Surgery | 554 N Duke St, Lancaster, PA 17602-2225 | 2007-07-18 |
| 1588873632 | Alisha Arora | Plastic Surgery | 554 N Duke St, Lancaster, PA 17602-2225 | 2007-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313173 | Taylor Giambrone | Registered Nurse | Lgh Nurse Family Partnership, 555 North Duke Street, Lancaster, PA 17602 | 2020-10-12 |
| 1982268843 | Blanche Nichole Breznak | Pharmacist | 201 East Chestnut St, Lancaster, PA 17602 | 2019-04-25 |
| 1285104851 | Stephanie Benedict | Pharmacist | 1603 Lincoln Highway East, Lancaster, PA 17602 | 2018-11-27 |
| 1043709835 | Deborah J Campos-bard, Lmt | Massage Therapist | 439 N. Duke St. 2nd Fl., 2, Lancaster, PA 17602 | 2018-05-07 |
| 1861989493 | Functional Freedom LLC | Occupational Therapist | 105 Heritage Rd., Lancaster, PA 17602 | 2018-04-19 |
| 1083094577 | Gracie Berry | Counselor | 413 Church St, Lancaster, PA 17602 | 2015-06-01 |
| 1366835597 | Holcomb Associates, Inc. | Community/Behavioral Health | 800 New Holland Avenue, Lancaster, PA 17602 | 2015-03-12 |
| 1205236965 | Maria Taylor | Physician Assistant | 555 N Duke Street, Lghp Hospitalists, Lancaster, PA 17602 | 2014-09-01 |
| 1114355104 | Charles Eugene Stream | Physician Assistant | 133 East Fredeick Street, Lancaster, PA 17602 | 2013-10-29 |
| 1710221668 | Kourtney Randsdorp | Occupational Therapist | 105 Heritage Rd, Lancaster, PA 17602 | 2012-11-15 |
| Find all providers in zip 17602 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013471754 | Advanced Surgery Center of Lancaster, LLC | Clinic/Center | 160 N Pointe Blvd Ste 105, Lancaster, PA 17601-4134 | 2019-01-28 |
| 1255872784 | Midatlantic Endoscopy LLC | Clinic/Center | 2112 Harrisburg Pike Ste 100, Lancaster, PA 17601-2644 | 2017-03-16 |
| 1033668587 | Lancaster Specialty Surgery Center | Clinic/Center | 3056 Columbus Lancaster Rd Nw, Lancaster, OH 43130-8126 | 2016-09-26 |
| 1396130514 | 15th Street Surgical Center, Inc. | Clinic/Center | 43821 15th St W, Lancaster, CA 93534-4756 | 2015-04-03 |
| 1902221021 | Reginald Sampson Md A Professional Corporation | Clinic/Center | 1741 W. Avenue J, Lancaster, CA 93534-2703 | 2014-02-26 |
| 1285907188 | Trinity Surgical Solutions, Inc | Clinic/Center | 44815 Fig Ave Ste 100, Lancaster, CA 93534-3144 | 2012-02-23 |
| 1619284536 | Childrens Surgery Center, LLC | Clinic/Center | 2160 Noll Dr, Lancaster, PA 17603-7603 | 2010-09-13 |
| 1639317399 | The Neurospine Center, LLC | Clinic/Center | 730 Eden Rd., Lancaster, PA 17601 | 2009-02-03 |
| 1598956088 | Orthopedic Surgery Center of Ellis County, LLC | Clinic/Center | 2400 W Pleasant Run Rd Ste 210, Lancaster, TX 75146-1179 | 2007-08-08 |
| 1629107164 | Hull Eye Surgery Center | Clinic/Center | 1739 W Avenue J, Lancaster, CA 93534-2703 | 2007-03-02 |
| Find all providers in LANCASTER | ||||
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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.