UNIVERSITY OF PENN-MEDICAL GROUP – NPI #1902269210
Transplant Surgery

A surgeon who specializes in transplant surgery.

UNIVERSITY OF PENN-MEDICAL GROUP is a transplant surgeon located in LANCASTER, PA. NPPES has assigned the NPI number 1902269210 to UNIVERSITY OF PENN-MEDICAL GROUP on April 04, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 204F00000X from the Health Care Provider Taxonomy code set, which is classified as Transplant Surgery.

The NPI profile was previously updated about 6 years ago on Nov 20, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for UNIVERSITY OF PENN-MEDICAL GROUP below.

NPI Profile for
UNIVERSITY OF PENN-MEDICAL GROUP

NPI Number
1902269210
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
UNIVERSITY OF PENN-MEDICAL GROUP
Primary location
554 N DUKE ST
3RD FLOOR
LANCASTER, PA 17602-2225
Phone: (215) 662-6200 Fax: (215) 662-2244
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHANTE JACKSON
ENROLLMENT LEAD
Phone: (215) 662-6187
Updated
Certification Date
Nov 20, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204F00000X
- Transplant Surgery (Primary)
PA
2086S0129X
- Surgery / Vascular Surgery
PA
208600000X
- Surgery
PA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.1068.1
Content Type
Affiliation
Y
Endpoint Location
2720 DUNDEE RD # 302,
NORTHBROOK, IL 77025-1669