Provider Demographics
NPI:1295904928
Name:PALLIATIVE MEDICINE CONSULTANTS
Entity type:Organization
Organization Name:PALLIATIVE MEDICINE CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KNAUB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-295-3900
Mailing Address - Street 1:685 GOOD DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-2426
Mailing Address - Country:US
Mailing Address - Phone:717-295-3900
Mailing Address - Fax:717-391-9582
Practice Address - Street 1:685 GOOD DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2426
Practice Address - Country:US
Practice Address - Phone:717-295-3900
Practice Address - Fax:717-391-9582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-27
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD025181E207Q00000X
PAMD019672E207Q00000X
PAMD417609207Q00000X
PAMD031880E207Q00000X
PAMD043960E207Q00000X
PAMD427451207Q00000X
PAMD064368L207R00000X
VA0101054552207R00000X
PASP009555363LF0000X
PASP001133H363LG0600X
PAMD429204207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA067388RG5OtherMEDICARE