| University Of Penn-medical Group | |
|
554 N Duke St 3rd Floor Gi Transplant Lancaster PA 17602-2225 | |
| (215) 662-6200 | |
| (215) 662-2244 |
| Full Name | University Of Penn-medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 554 N Duke St, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Chante L Jackson (ENROLLMENT LEAD) |
| Authorized Official Contact | 2156626187 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Penn-medical Group 554 N Duke St 3rd Floor Gi Transplant Lancaster PA 17602-2225 Ph: (215) 662-6200 | University Of Penn-medical Group 554 N Duke St 3rd Floor Gi Transplant Lancaster PA 17602-2225 Ph: (215) 662-6200 |
| NPI Number | 1043670805 |
|---|---|
| Provider Enumeration Date | 03/07/2016 |
| Last Update Date | 11/19/2020 |
| Medicare PECOS PAC ID | 6204730955 |
|---|---|
| Medicare Enrollment ID | O20150221000124 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043670805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Pennsylvania) | Primary |
| Provider Name | Ellie Kelepouris |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1790773547 PECOS PAC ID: 6507770708 Enrollment ID: I20031112000758 |
| Provider Name | Kim Olthoff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538196811 PECOS PAC ID: 1658272430 Enrollment ID: I20040115000452 |
| Provider Name | Dolores Bull Revels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225195480 PECOS PAC ID: 4789571274 Enrollment ID: I20040301000404 |
| Provider Name | Christina A Braun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124107099 PECOS PAC ID: 0446141303 Enrollment ID: I20040322001167 |
| Provider Name | Brenda Barber Hoffman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1770518052 PECOS PAC ID: 1153372107 Enrollment ID: I20050207000780 |
| Provider Name | Mary A Machala Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477576072 PECOS PAC ID: 7416902796 Enrollment ID: I20050321000030 |
| Provider Name | Sabiha Malik Hussain |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1306826433 PECOS PAC ID: 5092731968 Enrollment ID: I20051020000046 |
| Provider Name | Karthik Ranganna |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174561542 PECOS PAC ID: 4082633946 Enrollment ID: I20051121000454 |
| Provider Name | Yonghong Huan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568525269 PECOS PAC ID: 6406805878 Enrollment ID: I20070710000569 |
| Provider Name | Peter Lawrence Abt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649206590 PECOS PAC ID: 0345215737 Enrollment ID: I20070713000135 |
| Provider Name | Abraham Shaked |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528098514 PECOS PAC ID: 7315047735 Enrollment ID: I20070713000198 |
| Provider Name | Steven F Solga |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104858430 PECOS PAC ID: 1759472319 Enrollment ID: I20070810000425 |
| Provider Name | Joel David Glickman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124027727 PECOS PAC ID: 3274625538 Enrollment ID: I20070816000743 |
| Provider Name | Peter Philip Reese |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1962545954 PECOS PAC ID: 3072584473 Enrollment ID: I20071023000492 |
| Provider Name | Chienhui Chiang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376724724 PECOS PAC ID: 5496844243 Enrollment ID: I20071203000284 |
| Provider Name | Kenneth D Rothstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790753317 PECOS PAC ID: 4789777905 Enrollment ID: I20080508000487 |
| Provider Name | Dan Negoianu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1578626297 PECOS PAC ID: 6901861301 Enrollment ID: I20080730000308 |
| Provider Name | Maarouf Hoteit |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760503270 PECOS PAC ID: 0547342180 Enrollment ID: I20080919000135 |
| Provider Name | Sandeep Aggarwal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1548420326 PECOS PAC ID: 3779643028 Enrollment ID: I20081117000761 |
| Provider Name | Matthew H Levine |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740205459 PECOS PAC ID: 7911907175 Enrollment ID: I20081205000090 |
| Provider Name | Carolyn M Mylowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609015254 PECOS PAC ID: 3779649629 Enrollment ID: I20090302000555 |
| Provider Name | Melissa B Bleicher |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1508929282 PECOS PAC ID: 2264570597 Enrollment ID: I20091106000370 |
| Provider Name | Lawrence B Holzman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720160625 PECOS PAC ID: 8527108356 Enrollment ID: I20091229000455 |
| Provider Name | Simin Goral |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1205863586 PECOS PAC ID: 9436294220 Enrollment ID: I20100304000388 |
| Provider Name | Kuchikala Rajender Reddy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992848519 PECOS PAC ID: 7810022795 Enrollment ID: I20100317000425 |
| Provider Name | Siddharth P Shah |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1407059710 PECOS PAC ID: 8527154285 Enrollment ID: I20100615000080 |
| Provider Name | Deirdre L Sawinski |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1891954483 PECOS PAC ID: 7113058694 Enrollment ID: I20100628000263 |
| Provider Name | Roy D Bloom |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528093663 PECOS PAC ID: 6800910076 Enrollment ID: I20100825001002 |
| Provider Name | Jeffrey S Berns |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1386650299 PECOS PAC ID: 1850415951 Enrollment ID: I20100826000228 |
| Provider Name | Stanley Goldfarb |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326054024 PECOS PAC ID: 2668374893 Enrollment ID: I20101007000297 |
| Provider Name | Michael R Rudnick |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1790719664 PECOS PAC ID: 0941300388 Enrollment ID: I20101019001278 |
| Provider Name | Raphael M Cohen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1699707711 PECOS PAC ID: 1456549716 Enrollment ID: I20101230000707 |
| Provider Name | Raymond R Townsend |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1497786321 PECOS PAC ID: 6709774698 Enrollment ID: I20110103000896 |
| Provider Name | Debbie Louise Cohen Stein |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932136215 PECOS PAC ID: 5395924815 Enrollment ID: I20110128000761 |
| Provider Name | David S Goldberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891987806 PECOS PAC ID: 2567640345 Enrollment ID: I20110627000113 |
| Provider Name | Constantine M Chaknos |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1588870901 PECOS PAC ID: 6901075290 Enrollment ID: I20110802000578 |
| Provider Name | Laura Dember |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1144285370 PECOS PAC ID: 1052351715 Enrollment ID: I20120206000645 |
| Provider Name | Daniel Levy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841352390 PECOS PAC ID: 0648232603 Enrollment ID: I20120213000630 |
| Provider Name | Katie N Hummel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063770170 PECOS PAC ID: 2769645233 Enrollment ID: I20120521000051 |
| Provider Name | Meera M Harhay |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063631596 PECOS PAC ID: 1254595366 Enrollment ID: I20120620000617 |
| Provider Name | Matthew G Denker |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1083886048 PECOS PAC ID: 5799932638 Enrollment ID: I20120828000235 |
| Provider Name | Rebecca Amerlia Kurnik Seshasai |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1033314919 PECOS PAC ID: 7810137668 Enrollment ID: I20130628000239 |
| Provider Name | Mary Ann Chong Lim |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1457573271 PECOS PAC ID: 5597802850 Enrollment ID: I20130703000003 |
| Provider Name | Patricia Rekas Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417991829 PECOS PAC ID: 6507096112 Enrollment ID: I20140227000894 |
| Provider Name | Iryna Danylyuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548682511 PECOS PAC ID: 2264663251 Enrollment ID: I20140314000278 |
| Provider Name | Sanjeev R Shah |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1770620007 PECOS PAC ID: 1153408067 Enrollment ID: I20140324001735 |
| Provider Name | Tiffany Ann Donahue |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285059022 PECOS PAC ID: 2264664689 Enrollment ID: I20140416001719 |
| Provider Name | Jennie J Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851534176 PECOS PAC ID: 2668696154 Enrollment ID: I20140625000015 |
| Provider Name | Jordana Cohen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174759013 PECOS PAC ID: 2567686058 Enrollment ID: I20140625000040 |
| Provider Name | Navdeep Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366685612 PECOS PAC ID: 4486879855 Enrollment ID: I20140627001936 |
| Provider Name | Marina Serper |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689871717 PECOS PAC ID: 6901021641 Enrollment ID: I20140714000208 |
| Provider Name | Gaia Muallem |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1164656351 PECOS PAC ID: 2567689094 Enrollment ID: I20140807000309 |
| Provider Name | Kathryn E Couch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437558962 PECOS PAC ID: 5496977548 Enrollment ID: I20141105001927 |
| Provider Name | Edward Jelesiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922400852 PECOS PAC ID: 3173745494 Enrollment ID: I20141120001507 |
| Provider Name | Gail Eastman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588998769 PECOS PAC ID: 0547301764 Enrollment ID: I20150112000535 |
| Provider Name | Amar D Bansal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1093032112 PECOS PAC ID: 9638490220 Enrollment ID: I20150608002447 |
| Provider Name | Jamie S Lin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932420015 PECOS PAC ID: 6406177831 Enrollment ID: I20150610000963 |
| Provider Name | Nikunjkumar T Patel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1417296088 PECOS PAC ID: 4486873924 Enrollment ID: I20150611000927 |
| Provider Name | Christine Marie Culkin-gemmell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770697617 PECOS PAC ID: 7719064062 Enrollment ID: I20150730011928 |
| Provider Name | Susanna Nazarian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558414011 PECOS PAC ID: 9537337787 Enrollment ID: I20150810001645 |
| Provider Name | Naomi T Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053792275 PECOS PAC ID: 6608181920 Enrollment ID: I20150817000768 |
| Provider Name | Jia H Ng |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1164785861 PECOS PAC ID: 9335455807 Enrollment ID: I20150828000404 |
| Provider Name | Ihab Wahba |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1578578084 PECOS PAC ID: 4385704998 Enrollment ID: I20150910002173 |
| Provider Name | Jehan Zahid Bahrainwala |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104117407 PECOS PAC ID: 8527357961 Enrollment ID: I20160525000851 |
| Provider Name | Sarah Jeanne Schrauben |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1821385378 PECOS PAC ID: 7315237765 Enrollment ID: I20160526001056 |
| Provider Name | Jatinder Kohli |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518224567 PECOS PAC ID: 9739470774 Enrollment ID: I20160622000066 |
| Provider Name | Patricia O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801245584 PECOS PAC ID: 0345532651 Enrollment ID: I20160707000457 |
| Provider Name | Ethan Michael Weinberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760625487 PECOS PAC ID: 6002129145 Enrollment ID: I20160808001868 |
| Provider Name | Amanda K Leonberg Yoo |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326369018 PECOS PAC ID: 0244556371 Enrollment ID: I20160926001164 |
| Provider Name | Maria Lynne Bonanni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821336140 PECOS PAC ID: 7416238209 Enrollment ID: I20170110002804 |
| Provider Name | Maria Theresa Monter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992186241 PECOS PAC ID: 0648558247 Enrollment ID: I20170128000287 |
| Provider Name | Sarah Cioffi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861923039 PECOS PAC ID: 7315224896 Enrollment ID: I20170510002189 |
| Provider Name | Nathaniel Cantey Reisinger |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1881960938 PECOS PAC ID: 9133418379 Enrollment ID: I20170606000700 |
| Provider Name | Stephen P Yang |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1003178294 PECOS PAC ID: 4183920408 Enrollment ID: I20170620002221 |
| Provider Name | Behdad David Besharatian |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255620878 PECOS PAC ID: 5890939524 Enrollment ID: I20170621000855 |
| Provider Name | Abdallahsassine Geara |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629223045 PECOS PAC ID: 2769648039 Enrollment ID: I20170911001093 |
| Provider Name | Rachael Elysha Weiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538667324 PECOS PAC ID: 4789944620 Enrollment ID: I20180214000775 |
| Provider Name | Yvonne El Kassis |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1417202235 PECOS PAC ID: 9931457413 Enrollment ID: I20180731000861 |
| Provider Name | Anubhav Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922374198 PECOS PAC ID: 6002116159 Enrollment ID: I20180829000978 |
| Provider Name | Nwamaka Eneanya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437317153 PECOS PAC ID: 0244498558 Enrollment ID: I20180831001429 |
| Provider Name | Chien-wen Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548646664 PECOS PAC ID: 6406157536 Enrollment ID: I20180905000900 |
| Provider Name | Vishnu Sagar Potluri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861830267 PECOS PAC ID: 2668768979 Enrollment ID: I20181016000129 |
| Provider Name | Ty B Dunn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164423893 PECOS PAC ID: 8325094618 Enrollment ID: I20181120000430 |
| Provider Name | Lauren Boccagno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679037220 PECOS PAC ID: 6406194539 Enrollment ID: I20190214001140 |
| Provider Name | Tiffany C Wong |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174943344 PECOS PAC ID: 5294031530 Enrollment ID: I20190528002424 |
| Provider Name | Meaghan Sarah Roche |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1366862161 PECOS PAC ID: 3375762875 Enrollment ID: I20190604002942 |
| Provider Name | Sadichhya Lohani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1790190502 PECOS PAC ID: 4981829827 Enrollment ID: I20190627001168 |
| Provider Name | Ryan Christopher Spiardi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316396393 PECOS PAC ID: 3577810092 Enrollment ID: I20190709001559 |
| Provider Name | Huiwen Chen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1134539612 PECOS PAC ID: 9638398761 Enrollment ID: I20190710000011 |
| Provider Name | Hao Wang |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528486818 PECOS PAC ID: 5991097644 Enrollment ID: I20190730004553 |
| Provider Name | Elizabeth Anne Grasso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629622949 PECOS PAC ID: 5698004885 Enrollment ID: I20190913000537 |
| Provider Name | Brittany Alexandra Sheridan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831663970 PECOS PAC ID: 2860825759 Enrollment ID: I20191206002018 |
| Provider Name | Gemma Laurio Oetzel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1689200347 PECOS PAC ID: 0345671780 Enrollment ID: I20200519000723 |
| Provider Name | Ghazal Quinn |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1366837759 PECOS PAC ID: 4082902333 Enrollment ID: I20201008000501 |
| Provider Name | Rachel Hilburg |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1720406622 PECOS PAC ID: 6002184926 Enrollment ID: I20201022002372 |
| Provider Name | Samir Abu Gazala |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750708251 PECOS PAC ID: 3274943428 Enrollment ID: I20201029002109 |
| Provider Name | Russell Carstens |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1790713303 PECOS PAC ID: 4284042144 Enrollment ID: I20210415000017 |
| Provider Name | Kevin Enterlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740860170 PECOS PAC ID: 5294143566 Enrollment ID: I20210427000240 |
| Provider Name | Yuvaram Nellore Vilambi Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043604903 PECOS PAC ID: 0042525685 Enrollment ID: I20210526002389 |
| Provider Name | Kevin Fay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922493253 PECOS PAC ID: 0244547743 Enrollment ID: I20210527000009 |
| Provider Name | Christine Kwan Ling Ng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316521594 PECOS PAC ID: 3375943095 Enrollment ID: I20210616002556 |
| Provider Name | Jennie Berman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225623275 PECOS PAC ID: 3274938030 Enrollment ID: I20210818000395 |
| Provider Name | Vinay Srinivasan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861734154 PECOS PAC ID: 9436458676 Enrollment ID: I20210908003369 |
| Provider Name | Linda Marie U Lavenburg |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1023428349 PECOS PAC ID: 8921350067 Enrollment ID: I20210916001714 |
| Provider Name | Jonathan Dante Nahas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528485562 PECOS PAC ID: 3870833791 Enrollment ID: I20210924000888 |
| Provider Name | Shilpi Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518456458 PECOS PAC ID: 4284011701 Enrollment ID: I20220521000194 |
| Provider Name | Ralph Nader |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588154041 PECOS PAC ID: 5294086807 Enrollment ID: I20220523000140 |
| Provider Name | Matthew Plotkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982604138 PECOS PAC ID: 9830081207 Enrollment ID: I20220524001869 |
| Provider Name | Salma Shaikhouni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356735765 PECOS PAC ID: 2769799089 Enrollment ID: I20220615000854 |
| Provider Name | Srijan Tandukar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346675188 PECOS PAC ID: 2769780626 Enrollment ID: I20220715000054 |
| Provider Name | Samer Mohandes |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356640171 PECOS PAC ID: 8527297175 Enrollment ID: I20220826001814 |
| Provider Name | Nay Seif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619328820 PECOS PAC ID: 7315239373 Enrollment ID: I20221014002558 |
| Provider Name | Olivia Atlas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851005094 PECOS PAC ID: 6901277813 Enrollment ID: I20230131002249 |
| Provider Name | Rachel S Shulman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1215424817 PECOS PAC ID: 7810245909 Enrollment ID: I20230522003424 |
| Provider Name | Margaret Antonia Deoliveira |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1699207332 PECOS PAC ID: 9335505023 Enrollment ID: I20230523001498 |
| Provider Name | Leah M D'agostino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427644772 PECOS PAC ID: 8224483136 Enrollment ID: I20231012003016 |
| Provider Name | Ronald Parsons |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508913252 PECOS PAC ID: 7113173550 Enrollment ID: I20231016000739 |
| Provider Name | Elizabeth Sonnenberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194136978 PECOS PAC ID: 4688078579 Enrollment ID: I20231017002931 |
| Provider Name | Jasmia Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932473386 PECOS PAC ID: 4486810769 Enrollment ID: I20240117003987 |
| Provider Name | Sarah Catherine Hryzak |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942704648 PECOS PAC ID: 5698119279 Enrollment ID: I20240222001573 |
John A. Palumbo, M.d. & Associates, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1525 Oregon Pike, Suite 1201, Lancaster, PA 17601 Phone: 717-295-3012 Fax: 717-295-3014 | |
Penn Medicine Lancaster General Health Physicians Vaccination Booster Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2112 Harrisburg Pike Ste 323, Lancaster, PA 17601 Phone: 717-588-1490 Fax: 717-588-1491 | |
Penn Medicine Lghp Family Medicine Abbeyville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Abbeyville Rd, Lancaster, PA 17603 Phone: 717-291-5991 Fax: 717-291-5806 | |
Patient First - Lancaster Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1625 Oregon Pike, Lancaster, PA 17601 Phone: 717-925-2995 Fax: 717-925-2996 | |
Wound Medicine Of Central Pennsylvania Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 N Pine St, Lancaster, PA 17603 Phone: 631-828-4920 | |
Avalon Primary Care, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2160 Lincoln Hwy E Ste 1-a4, Lancaster, PA 17602 Phone: 717-899-8113 Fax: 717-617-2476 | |
Sleep Disorder Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 250 Ranck Ave, Lancaster, PA 17602 Phone: 717-569-7044 Fax: 717-431-9684 |