RUSSEL H. ETTER MD NPI 1346386992

NPI Information

NPI: 1346386992
Provider Name: RUSSEL H. ETTER MD
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
55 WYNTRE BROOKE DR
YORK, PA
ZIP 17403
Phone: (717) 741-3896
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RUSSEL H. ETTER MD is a primary care clinic center in York, PA. RUSSEL H. ETTER MD NPI is 1346386992. The provider is registered as an organization entity type.

The provider's business location address is:

55 WYNTRE BROOKE DR
YORK, PA
ZIP 17403-536
Phone: (717) 741-3896
Fax: (717) 741-5434

The provider's authorized official is Pamela S Wolfgang .
The authorized official title is Office Manager and has the following contact phone number (717) 741-3896.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 11/5/2009.

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	261QP2300X	Clinic/Center	Primary Care	MD008050E	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	Other Provider Identifier Issuer
1	172355	OTHER	PENNSYLVANIA	HEALTHAMERICAN PA
2	8110175	OTHER	PENNSYLVANIA	CIGNA
3	B33142	MEDICARE UPIN	PENNSYLVANIA
4	0004626999	OTHER	PENNSYLVANIA	AETNA
5	000018534	MEDICARE PIN	PENNSYLVANIA
6	03206000	OTHER	PENNSYLVANIA	CAPITAL BLUE CROSS
7	000018534	OTHER	PENNSYLVANIA	HIGHMARK BLUE SHIELD
8	0643575	MEDICAID	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

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