DR. EDWARD WILLIAM SUPPLE M.D. NPI 1134196785

NPI Information

NPI: 1134196785
Provider Name: DR. EDWARD WILLIAM SUPPLE, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
217 HARRISBURG AVE
THE HEART GROUP, LTD.
LANCASTER, PA
ZIP 17603
Phone: (717) 397-5484
Get Directions

DR. Edward William Supple, M.D. is a cardiovascular disease internal medicine in Lancaster, PA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Edward William Supple, M.D. NPI is 1134196785. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

217 HARRISBURG AVE
THE HEART GROUP, LTD.
LANCASTER, PA
ZIP 17603-964
Phone: (717) 397-5484
Fax: (717) 397-8407

The enumeration date for this NPI number is 3/2/2006 and was last updated on 10/2/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RI0011X	Internal Medicine	Interventional Cardiology	MD038497E	PENNSYLVANIA	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	MD038497E	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	B41312	MEDICARE UPIN	PENNSYLVANIA
2	0010951250003	MEDICAID	PENNSYLVANIA
3	407712	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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