LANCASTER GENERAL HOSPITAL (NPI# 1619023124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619023124 |
| Entity Type | Organization |
| Organization Name | LANCASTER GENERAL HOSPITAL |
| Other Organization Name | PENN MEDICINE LGHP GERIATRICS |
| Practice Address |
212 Willow Valley Lakes Dr Willow Street PA 17584-9668 |
| Practice Telephone | 7174649173 |
| Practice Fax Number | 7174640823 |
| Mailing Telephone | 7174649173 |
| Mailing Fax Number | 7174640823 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-11-06 |
| Authorized Official Name | DENISE A KENNEDY (VP FINANCIAL SERVICES) |
| Authorized Official Telephone | 7175445010 |
| Is Organization Subpart | Y |
| Parent Organization Name | LANCASTER GENERAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK BLUE SHIELD | 001399238 | 01 |
| PA | AMERIHEALTH 65 | 2087959000 | 01 |
| PA | UNISON | 000000136758 | 01 |
| PA | GEISINGER | S1P6 | 01 |
| PA | AMERIHEALTH MERCY | 20054139 | 01 |
| Other Name | Type Code |
|---|---|
| LGHP/Penn Medicine Geriatrics | Doing Business As Name - Organization |
| Penn Medicine LGHP Geriatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497014062 | Lancaster General Hospital | Pediatrics | 2110 Harrisburg Pike Ste 315, Lancaster, PA 17601-2644 | 2012-05-16 |
| 1104070325 | Lancaster General Hospital | Pediatrics | 628 N Duke St, Lancaster, PA 17602-2210 | 2008-11-14 |
| 1154417855 | Lancaster General Hospital | Psychologist | 317 S. Chestnut St., Lancaster, PA 17566-8635 | 2006-10-04 |
| 1023658465 | Lancaster General Hospital | Health Educator | 536 N Duke St, Lancaster, PA 17602-2208 | 2020-01-14 |
| 1699202671 | Lancaster General Hospital | Pain Medicine | 2100 Harrisburg Pike, Lancaster, PA 17601-2644 | 2017-05-22 |
| 1720430812 | Lancaster General Hospital | Radiology | 2100 Harrisburg Pike, Lancaster, PA 17601-2644 | 2016-07-13 |
| 1124493168 | Lancaster General Hospital | Surgery | 2102 Harrisburg Pike, Lancaster, PA 17601-2644 | 2015-12-02 |
| 1629469747 | Lancaster General Hospital | Urology | 690 Good Dr, Lancaster, PA 17601-2433 | 2015-02-11 |
| 1619371812 | Lancaster General Hospital | Surgery | 950 S Octorara Trl, Parkesburg, PA 19365-2100 | 2014-10-17 |
| 1518360403 | Lancaster General Hospital | Internal Medicine | 555 N Duke St, Lancaster, PA 17602-2250 | 2014-10-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LANCASTER GENERAL HOSPITAL, THE | 850 Greenfield Rd, Lancaster, PA 17601-5871 |
| Street Address |
212 WILLOW VALLEY LAKES DR |
| City | WILLOW STREET |
| State | PA |
| Zip Code | 17584-9668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073170601 | Amanda Mcevoy | Registered Nurse | 212 Willow Valley Lakes Dr, Willow Street, PA 17584-9668 | 2019-05-20 |
| 1245896505 | Jaimee Smeal | Licensed Practical Nurse | 212 Willow Valley Lakes Dr, Willow Street, PA 17584-9668 | 2019-05-13 |
| 1376001081 | Ivelisse Rodriguez | Licensed Practical Nurse | 212 Willow Valley Lakes Dr, Willow Street, PA 17584-9668 | 2019-03-12 |
| 1144788589 | Patricia Lynn Corrao | Licensed Practical Nurse | 212 Willow Valley Lakes Dr, Willow Street, PA 17584-9668 | 2019-03-05 |
| 1811455280 | Norby N/a Santiago | Licensed Practical Nurse | 212 Willow Valley Lakes Dr, Willow Street, PA 17584-9668 | 2019-03-05 |
| 1801033782 | Orthopedic Assoc of Lancaster Ltd | Orthopaedic Surgery | 212 Willow Valley Lakes Dr, Suite 201, Willow Street, PA 17584-9668 | 2009-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396397873 | Bethany M Noll | Audiologist-Hearing Aid Fitter | 226 Willow Valley Lakes Drive, Suite D, Willow Street, PA 17584 | 2019-07-15 |
| 1720546070 | Michelle Beachy | Licensed Practical Nurse | 212 Willow Lakes Drive, Suite 208, Willow Street, PA 17584 | 2019-03-06 |
| 1295293603 | Mary Florida | Registered Nurse | Department of Veteran Affiars, 212 Willow Valley Lakes Drive, Willow Street, PA 17584 | 2019-03-05 |
| 1275069494 | Victoria Vanburen | Counselor | 2819 Willow Street Pike, Willow Street, PA 17584 | 2017-05-08 |
| 1528505245 | Beverly Gooden | Pharmacist | 2600 Willow St. Pike, Willow St., PA 17584 | 2017-01-20 |
| 1902357544 | White Family Dental - Willow Street | Dentist | 212 Willow Valley Drive, Suite 209, Willow Street, PA 17584 | 2016-10-19 |
| 1134482144 | Alexis H Le | Pharmacist | 2600 N Willow Street Pike, Kmart Pharmacy #3810, Willow Street, PA 17584 | 2012-06-25 |
| 1992020309 | Elizabeth A Trozzo | Pharmacist | 2600 Willow Street Pike, Willow Street, PA 17584 | 2010-03-30 |
| 1295987642 | Nu Smile Family Dentistry | Dentist | 2600 Willowstreet Pike, Ste# 310, Willo W Street, PA 17584 | 2008-10-16 |
| 1629255948 | T W Ponessa and Associates Counseling Services Inc | Community/Behavioral Health | 730 Hans Herr Drive, Willow Street, PA 17584 | 2008-01-29 |
| Find all providers in zip 17584 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750949814 | Aria Health Physicain Services | Family Medicine | 240 Middletown Blvd Ste 101a, Langhorne, PA 19047-1832 | 2019-06-04 |
| 1801378740 | Temple Faculty Practice Plan Inc | Family Medicine | 3322 Broad St, Philadelphia, PA 19140-5103 | 2018-09-06 |
| 1275076051 | Alan Baseman | Family Medicine | 111 Harrison Forge Court, Chalfont, PA 18914 | 2016-11-28 |
| 1902148620 | Ingeborg Gerber | Family Medicine | 1 Horsetrail Ln, Blue Bell, PA 19422-2466 | 2013-03-20 |
| 1649517236 | Lancaster General Medical Group | Family Medicine | 99 Masonic Dr, Suite 101, Elizabethtown, PA 17022-2547 | 2013-01-16 |
| 1235475831 | Creating Partnership LLC | Family Medicine | 40 Fox Hollow Rd, Downingtown, PA 19335-1890 | 2012-12-31 |
| 1669600953 | St. Luke's Physician Group, Inc. | Family Medicine | 5445 Lanark Rd Ste 200, Center Valley, PA 18034-8694 | 2009-06-25 |
| 1457529729 | Frey Medical Associates PC | Family Medicine | 524 Beltzhoover Avenue, Pittsburgh, PA 15210 | 2008-02-20 |
| 1235314428 | Amy Jo Diplacido | Family Medicine | 111 Sheridan Street, Renaissance Family Practice, Pittsburgh, PA 15209-2639 | 2008-01-07 |
| 1407056732 | Joseph P. Chollak, Jr., M.d. | Family Medicine | 950 Wyoming Ave, Forty Fort, PA 18704-3966 | 2007-07-24 |
| Find all providers with the same taxonomy | ||||
| City | WILLOW STREET |
| Zip Code | 17584 |
Please comment or provide details below to improve the information on LANCASTER GENERAL HOSPITAL.
| 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.