Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
NORTHERN LANCASTER MEDICAL GROUP
Active
Organization
NORTHERN LANCASTER MEDICAL GROUP
Active
Other names
WellSpan Family Medicine - Terre Hill
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES DAVID NOLL DO (VICE PRESIDENT)
(717) 859-5161
Entity
Organization
Contact information
Practice address
770 BROAD STREET, TERRE HILL, PA 17581-0130
(717) 445-4576
(717) 445-4483
Mailing address
4131 OREGON PIKE, SUITE C, EPHRATA, PA 17522
(717) 859-5171
(717) 859-5169
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013977730002
—
PA
01
—
1746284
BLUE SHIELD
PA
01
—
DD6938
RAILROAD MEDICARE
PA
Enumeration date
08/02/2006
Last updated
08/07/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers