NORTHERN LANCASTER COUNTY MEDICAL GROUP (NPI# 1669414611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669414611 |
| Entity Type | Organization |
| Organization Name | NORTHERN LANCASTER COUNTY MEDICAL GROUP |
| Other Organization Name | BAREVILLE MEDICAL ASSOCIATES |
| Practice Address |
15 Zimmerman Rd Leola PA 17540-1949 |
| Mailing Address |
Po Box 398 Brownstown PA 17508-0398 |
| Practice Telephone | 7176564922 |
| Mailing Telephone | 7178592038 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CYNTHIA MALIZIA (VP NLCMG) |
| Authorized Official Telephone | 7177382280 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CIGNA | 1538659 | 01 |
| PA | BLUE CROSS | 50051122 | 01 |
| PA | BLUE SHIELD | 2412011000 | 01 |
| PA | AETNA | 7022107 | 01 |
| Other Name | Type Code |
|---|---|
| Bareville Medical Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780016253 | Northern Lancaster County Medical Group | Family Medicine | 1135 Georgetown Road, Suite 201, Christiana, PA 17509 | 2013-08-06 |
| 1346344561 | Northern Lancaster County Medical Group | Family Medicine | 136 A & B Lake Street, Ephrata, PA 17522-2415 | 2006-09-08 |
| 1720182009 | Northern Lancaster County Medical Group | Family Medicine | Jefferson & Willow Streets, Adamstown, PA 19501-0515 | 2006-09-08 |
| 1992817514 | Northern Lancaster County Medical Group | Family Medicine | 171 Chapel View Dr, Reinholds, PA 17569-0119 | 2006-08-31 |
| 1780799577 | Northern Lancaster County Medical Group | Family Medicine | 3469 Harvest Dr, Gordonville, PA 17529-9401 | 2006-08-20 |
| 1073547733 | Northern Lancaster County Medical Group | Family Medicine | 808 Pleasantview Dr, Ephrata, PA 17522-1644 | 2006-07-10 |
| 1750325189 | Northern Lancaster County Medical Group | Family Medicine | 2320 Rothsville Rd, Suite 200, Lititz, PA 17543-8215 | 2006-06-15 |
| 1285676817 | Northern Lancaster County Medical Group | Family Medicine | 63 W Church St, Stevens, PA 17578-9203 | 2006-06-11 |
| 1992743900 | Northern Lancaster County Medical Group | Family Medicine | 101 S 7th St, Akron, PA 17501-1329 | 2006-06-02 |
| 1083665038 | Northern Lancaster County Medical Group | Family Medicine | 4224 Oregon Pike, Brownstown, PA 17508 | 2006-05-15 |
| Street Address |
15 ZIMMERMAN RD |
| City | LEOLA |
| State | PA |
| Zip Code | 17540-1949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902172505 | Frederick Louis Teschner | Dentist | 355 W. Main St., Leola, PA 17540 | 2012-03-28 |
| 1326348509 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 11 School Drive, Leola, PA 17540 | 2010-10-22 |
| 1184717100 | William E Poole IIi | Dentist | 21 East Main St, Leola, PA 17540 | 2006-10-02 |
| 1508837550 | David James Gasperack | Family Medicine | 337 W Main St, Suite 100, Leola, PA 17540 | 2006-01-29 |
| 1891967311 | William E Poole Dds PC | Dentist | 21 East Main St, Leola, PA 17540 | 2008-03-25 |
| 1649358011 | Gary Valinski | Chiropractor | 11 Holly Dr, Leola Chiropractic, Leola, PA 17540-1211 | 2006-11-01 |
| 1306999362 | Leola Chiropractic Ltd | Clinic/Center | 11 Holly Dr, Leola, PA 17540-1211 | 2007-01-20 |
| 1952426009 | Julia Marie Stern | Physical Therapy Assistant | 35 Kevin Ct, Leola, PA 17540-1331 | 2007-03-20 |
| 1588038269 | Jordan Turney | Counselor | 21 Bradford Dr Apt 12, Leola, PA 17540-1713 | 2015-11-18 |
| 1215935002 | Leola Ambulance Association | Ambulance | 143 W Main St, Leola, PA 17540-1750 | 2005-07-14 |
| Find all providers in zip 17540 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184157471 | Melissa L King | Family Medicine | 337 W Main St Ste 100, Leola, PA 17540-2109 | 2017-04-04 |
| 1588694160 | Joel L Samitt | Family Medicine | 377 W Main St, Suite100, Leola, PA 17540-1760 | 2006-07-03 |
| 1508837550 | David James Gasperack | Family Medicine | 337 W Main St, Suite 100, Leola, PA 17540 | 2006-01-29 |
| 1982601407 | Stephen Paul Martell | Family Medicine | 146 E Main St, Leola, PA 17540-1964 | 2005-06-30 |
| 1235628660 | Lancaster General Medical Group | Family Medicine | 146 E Main St, Leola, PA 17540-1964 | 2018-05-01 |
| 1033660550 | Wellspan Medical Group | Family Medicine | 337 W Main St, Suite 100, Leola, PA 17540-2109 | 2016-10-19 |
| 1871729582 | Lindsey Ann Goetz | Family Medicine | 337 W Main St, Leola, PA 17540-2109 | 2009-06-09 |
| 1245495696 | James Hyland Jewell | Family Medicine | 146 E Main St, Leola, PA 17540-1964 | 2008-07-25 |
| 1568488757 | Richard H. Niemeyer | Family Medicine | 146 E Main St, Leola, PA 17540-1964 | 2006-07-14 |
| 1225073281 | Robert L Good | Family Medicine | 337 W Main St, Leola, PA 17540-2109 | 2006-06-16 |
| Find all providers in LEOLA | ||||
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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.