NORTHERN LANCASTER COUNTY MEDICAL GROUP (NPI# 1750325189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750325189 |
| Entity Type | Organization |
| Organization Name | NORTHERN LANCASTER COUNTY MEDICAL GROUP |
| Other Organization Name | WELLSPAN FAMILY & PEDIATRIC MEDICINE - ROTHSVILLE |
| Practice Address |
2320 Rothsville Rd Suite 200 Lititz PA 17543-8215 |
| Mailing Address |
4131 Oregon Pike Suite C Ephrata PA 17522-9550 |
| Practice Telephone | 7177214800 |
| Practice Fax Number | 7176261613 |
| Mailing Telephone | 7178595161 |
| Mailing Fax Number | 7178595169 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2015-05-28 |
| Authorized Official Name | CHARLES DAVID NOLL (SENIOR PRACTICE MANAGER) |
| Authorized Official Telephone | 7178595161 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 193400000X | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | RAILROAD MEDICARE | DD6938 | 01 |
| PA | 1013977730011 | 05 | |
| PA | BLUE SHIELD | 1746277 | 01 |
| Other Name | Type Code |
|---|---|
| Wellspan Family & Pediatric Medicine - Rothsville | 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 |
| 1669414611 | Northern Lancaster County Medical Group | Family Medicine | 15 Zimmerman Rd, Leola, PA 17540-1949 | 2006-06-12 |
| 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 |
2320 ROTHSVILLE RD SUITE 200 |
| City | LITITZ |
| State | PA |
| Zip Code | 17543-8215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154861680 | Jaclyn Hepworth | Physician Assistant | 2320 Rothsville Rd, Suite 200, Lititz, PA 17543-8215 | 2017-03-02 |
| 1154872661 | Wellspan Medical Group | Family Medicine | 2320 Rothsville Rd, Suite 200, Lititz, PA 17543-8215 | 2016-10-19 |
| 1770906471 | Rothsville Counseling | Counselor | 2320 Rothsville Rd, Suite 103a, Lititz, PA 17543-8215 | 2014-01-31 |
| 1457772006 | Rothsville Counseling | Marriage & Family Therapist | 2320 Rothsville Rd, Lititz, PA 17543-8215 | 2013-12-29 |
| 1972856599 | Vinitha Moopen | Pediatrics | 2320 Rothsville Rd, Suite 200, Lititz, PA 17543-8215 | 2012-10-19 |
| 1689838591 | Sara Janel Gotwalt | Dentist | 2320 Rothsville Rd, Suite 300, Lititz, PA 17543-8215 | 2008-07-10 |
| 1841340148 | Jonathan Darren Lehman | Physician Assistant | 2320 Rothsville Rd, Suite 200, Lititz, PA 17543-8215 | 2007-01-11 |
| 1083786453 | John Talmage Gotwalt | Dentist | 2320 Rothsville Rd, Suite 300, Lititz, PA 17543-8215 | 2006-11-14 |
| 1932125978 | Stephanie Arlene Swann | Counselor | 2320 Rothsville Rd, Suite 103a, Lititz, PA 17543-8215 | 2006-07-14 |
| 1821023730 | Paul E. Vassil | Family Medicine | 2320 Rothsville Rd, Suite 200, Lititz, PA 17543-8215 | 2006-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306883 | Lauren Sue Topper | Pharmacist | 740 South Broad Street, Lititz, PA 17543 | 2018-11-27 |
| 1710478540 | Lancaster General Medical Group | Family Medicine | 51 Peters Rd Ste 101, Lititz, PA 17543 | 2018-05-29 |
| 1679062350 | Saima Sarmin Mukta | Family Medicine | Upmc Pinnacle Lititz, 1500 Highlands Dr, Lititz, PA 17543 | 2018-05-08 |
| 1073027488 | Bradford Todd Nicarry | Massage Therapist | 901 Rothsville Rd, Lititz, PA 17543 | 2017-11-21 |
| 1962929539 | Megan Sham | Occupational Therapist | 206 Starflower Vw, Lititz, PA 17543 | 2017-08-24 |
| 1124566815 | Stephanie Schultheisz | Speech-Language Pathologist | 58 E Center St, Lititz, PA 17543 | 2017-02-02 |
| 1720323975 | Gregory Robert James O'neill | Chiropractor | 766 Lititz Pike, Lititz, PA 17543 | 2012-11-29 |
| 1508132234 | J. Cornack Therapy Group LLC | Early Intervention Provider Agency | 604 Cournthouse Cir, Lititz, PA 17543 | 2012-03-27 |
| 1124338793 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 1001 Buckwalter Road, Lititz, PA 17543 | 2010-10-18 |
| 1518289420 | Pamela Lynn Noden | Counselor | 2320 Rothsville Rd Ste 103a, Lititz, PA 17543 | 2010-02-18 |
| Find all providers in zip 17543 | ||||
| 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 |
|---|---|---|---|---|
| 1699383430 | Lancaster General Medical Group | Family Medicine | 26 N Cedar St, Lititz, PA 17543-1514 | 2020-07-17 |
| 1710478540 | Lancaster General Medical Group | Family Medicine | 51 Peters Rd Ste 101, Lititz, PA 17543 | 2018-05-29 |
| 1679062350 | Saima Sarmin Mukta | Family Medicine | Upmc Pinnacle Lititz, 1500 Highlands Dr, Lititz, PA 17543 | 2018-05-08 |
| 1447544242 | Jennifer M Payne | Family Medicine | 51 Peters Rd, Suite 200, Lititz, PA 17543-7685 | 2011-06-09 |
| 1912207614 | David William Frederick | Family Medicine | 726 Buckwood Ln, Lititz, PA 17543-8632 | 2010-10-27 |
| 1538380126 | Dwight Alvin Herr | Family Medicine | 6 West Newport Road, Lititz, PA 17543 | 2007-05-01 |
| 1548201700 | Louise R Butler | Family Medicine | 1535 Highlands Dr Ste 100, Lititz, PA 17543-7681 | 2006-06-09 |
| 1073597134 | Thomas W Andersen | Family Medicine | 562 W 2nd Ave, Lititz, PA 17543-1816 | 2005-12-02 |
| 1164405593 | Lancaster General Medical Group | Family Medicine | 562 West 2nd Avenue, Lititz, PA 17543-1816 | 2005-11-21 |
| 1972122281 | Karine Delroux | Family Medicine | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2020-04-16 |
| Find all providers in LITITZ | ||||
Please comment or provide details below to improve the information on NORTHERN 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.