Provider Demographics
NPI:1659307130
Name:ARGIRES MAROTTI NEUROSURGICAL ASSOCIATES OF LANCASTER, PC
Entity Type:Organization
Organization Name:ARGIRES MAROTTI NEUROSURGICAL ASSOCIATES OF LANCASTER, PC
Other - Org Name:ARGIRES MAROTTI NEUROSURGICAL ASSOCIATES OF LANCASTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:ERIK
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-358-0814
Mailing Address - Street 1:160 N POINTE BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4134
Mailing Address - Country:US
Mailing Address - Phone:717-358-0800
Mailing Address - Fax:717-358-0803
Practice Address - Street 1:160 N POINTE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4134
Practice Address - Country:US
Practice Address - Phone:717-358-0800
Practice Address - Fax:717-358-0803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207LP2900X, 207T00000X, 2084N0400X
PAMD0555912207T00000X
PAMD4385912081P2900X
PAMD060841207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA30009072Medicaid
PA7612194OtherAETNA NON HMO
PA18076Medicaid
PA189650OtherKEYSTONE CENTRAL
PA3655OtherGEISINGER HEALTH PLAN
PA2447964OtherAETNA HMO
PA03268500OtherCAPITAL BLUE CROSS
PA1518631Medicaid
PA271281000OtherAMERIHEALTH65
PA5627335OtherCIGNA
PA1516497Medicaid
PA00164468OtherHIGHMARK BLUE SHIELD
PA1518631Medicaid
PA1516497Medicaid
PA03268500OtherCAPITAL BLUE CROSS
PA7612194OtherAETNA NON HMO
PA68011Medicare ID - Type Unspecified
PA=========OtherTRICARE
PA=========OtherALLIANCE HEALTH PLAN
PA7612194OtherAETNA NON HMO
PA189650OtherKEYSTONE CENTRAL