Provider Demographics
NPI:1609835933
Name:ORTHOPEDIC ASSOC OF LANCASTER LTD
Entity Type:Organization
Organization Name:ORTHOPEDIC ASSOC OF LANCASTER LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:WEIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-391-2489
Mailing Address - Street 1:170 N POINTE BLVD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4132
Mailing Address - Country:US
Mailing Address - Phone:717-391-2489
Mailing Address - Fax:717-299-6430
Practice Address - Street 1:170 N POINTE BLVD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4132
Practice Address - Country:US
Practice Address - Phone:717-299-4871
Practice Address - Fax:717-299-6430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-23
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
32249OtherAMERIHEALTH MERCY
PA02405100OtherBLUE CROSS
PA0015163250013Medicaid
PA0517840OtherAETNA
PW100150OtherBLUE SHIELD
PA0015163250013Medicaid
32249OtherAMERIHEALTH MERCY