1023219482 NPI number — LANCASTER ORTHOPEDIC GROUP, INC.

Table of content: DR. MATTHEW BENJAMIN MCALEES D.C. (NPI 1437462983)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023219482 NPI number — LANCASTER ORTHOPEDIC GROUP, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LANCASTER ORTHOPEDIC GROUP, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023219482
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/03/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
231 GRANITE RUN DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LANCASTER
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17601-6823
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-560-4200
Provider Business Mailing Address Fax Number:
717-560-4159

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
175 MARTIN AVE
Provider Second Line Business Practice Location Address:
SUITE 315
Provider Business Practice Location Address City Name:
EPHRATA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17522-1761
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-733-9200
Provider Business Practice Location Address Fax Number:
717-733-9766
Provider Enumeration Date:
05/31/2007

Additional Information

Authorized Official

Authorized Official Last Name:
TROXELL
Authorized Official First Name:
COREY
Authorized Official Middle Name:
R
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
717-560-4200

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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