WELLSPAN FAMILY HEALTH - LEACOCK
NPI 1619177490
Family Medicine in Gordonville, PA

Active since July 20, 2007
3413 HARVEST DR, GORDONVILLE, PA 17529(717) 768-7141(717) 768-3528 Get Directions Write a Review

NPPES record last updated: May 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wellspan Family Health - Leacock NPPES

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

WELLSPAN FAMILY HEALTH - LEACOCK (NPI 1619177490) is a healthcare organization registered as a family medicine in Gordonville, Pennsylvania and active in the NPI registry since July 2007. The organization lists Charles David Noll, Vice President, as its authorized official.

NPPES Registry Identity

NPI1619177490
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNORTHERN LANCASTER COUNTY MEDICAL GROUP
Location Address3413 HARVEST DRGordonville, PA 17529-9586
Mailing Address4131 Oregon Pike, Suite CEphrata, PA 17522-9550 · (717) 859-5161 · Fax (717) 859-5169
Fax(717) 768-3528
Organization SubpartNo
Authorized OfficialCharles David NollVice President · (717) 859-5161
Enumeration DateJuly 20, 2007
Last NPPES UpdateMay 5, 2015
NPI 1619177490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD007574E
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.
3413 HARVEST DR, Gordonville, PA 17529

Other Names 1

Doing Business AsWellspan Family Health - Leacock

Other Identifiers 2

Medicare OSCAR/certification092914PA
Medicaid1013977730025PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
3413 HARVEST DR
GORDONVILLE, PA 17529
Nurse Practitioner (Family)
3413 HARVEST DR
GORDONVILLE, PA 17529

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northern Lancaster County Medical Group's NPI number?

The NPI number for Northern Lancaster County Medical Group is 1619177490. It was assigned to this organization in the NPPES registry on July 20, 2007. The provider is doing business as Wellspan Family Health - Leacock.

Where is Northern Lancaster County Medical Group located?

Northern Lancaster County Medical Group is located at 3413 Harvest Dr, Gordonville, PA 17529. The listed phone number is (717) 768-7141.

What is Northern Lancaster County Medical Group's specialty?

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

When was this NPI record last updated?

The NPPES record for Northern Lancaster County Medical Group was last updated on May 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.