WELLSPAN FAMILY MEDICINE- CROSSROADS
NPI 1023048592
Family Medicine in Ephrata, PA

Q: What is Northern Lancaster County Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 03, 2006CLIA 39D0188127 · Waiver

4131 OREGON PIKE, EPHRATA, PA 17522(717) 859-1123(717) 859-2898 Get Directions Write a Review

NPPES record last updated: May 5, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Wellspan Family Medicine- Crossroads NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLSPAN FAMILY MEDICINE- CROSSROADS (NPI 1023048592) is a healthcare organization registered as a family medicine in Ephrata, Pennsylvania and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 28, 2028 and lists Charles David Noll, Vice President, as its authorized official.

NPPES Registry Identity

NPI1023048592

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameNORTHERN LANCASTER COUNTY MEDICAL GROUP

Location Address4131 OREGON PIKEEphrata, PA 17522-9550

Mailing Address4131 Oregon Pike, Suite CEphrata, PA 17522-9550 · (717) 859-5161 · Fax (717) 859-5169

Phone(717) 859-1123

Fax(717) 859-2898

Organization SubpartNo

Authorized OfficialCharles David NollVice President · (717) 859-5161

Enumeration DateJuly 3, 2006

Last NPPES UpdateMay 5, 2015

✔ NPI 1023048592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

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.

4131 OREGON PIKE, Ephrata, PA 17522

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Other Names 1

Doing Business AsWellspan Family Medicine- Crossroads

Other Identifiers 8

Other000000168397PA · Unison Health Plan

Other1517082PA · Gateway Group Number

Other4620221PA · Aetna Group Number

Medicare PIN092914PA

Other2412013000PA · Blue Shield Pa

Other50051184PA · Capital Blue Cross Group

OtherDD6938PA · Railroad Medicare

Medicaid1013977730004PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0188127

Wellspan Family Medicine-Crossroads · Ephrata, PA

Active · expires Mar 28, 2028

CLIA Number39D0188127

Laboratory TypePhysician Office

Certificate Effective DateMarch 29, 2026

Certificate Expiration DateMarch 28, 2028

Laboratory DirectorDr. Jonathan A. Sneller

Laboratory Phone(717) 859-1123

Laboratory LocationWellspan Family Medicine-Crossroads4131A Oregon Pike, Ephrata, PA 17522

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LENEA RIEHL

Occupational Therapist