DR. MATTHEW T EBLING MD NPI 1770534075

NPI Information

NPI: 1770534075
Provider Name: DR. MATTHEW T EBLING, MD
Classification: Family Medicine - 207QA0000X
Entity Type: Individual

Specialization: Adolescent Medicine

Organization: CHENANGO MEMORIAL HOSPITAL INC

PECOS Registration: Yes

Address:
250 COLLEGE AVE
LANCASTER, PA
ZIP 17603
Phone: (717) 988-0000
Get Directions

DR. Matthew T Ebling, MD is an adolescent medicine family medicine in Lancaster, PA with 21 years of experience. The provider is a family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. DR. Matthew T Ebling, MD NPI is 1770534075. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduation Year:2003

The provider's business location address is:

250 COLLEGE AVE
LANCASTER, PA
ZIP 17603
Phone: (717) 988-0000
Fax: (717) 782-5716

The NPI 1770534075 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 6/6/2018.

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	207P00000X	Emergency Medicine		273809	NEW YORK	No
2	207P00000X	Emergency Medicine		MD427961	PENNSYLVANIA	No
3	207QA0000X	Family Medicine	Adolescent Medicine	MD427961	PENNSYLVANIA	Yes
4	208M00000X	Hospitalist		MD427961	PENNSYLVANIA	No

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	1017854150005	MEDICAID	PENNSYLVANIA
2	FE0923397	OTHER	PENNSYLVANIA	DEA
3	101785415 0002	MEDICAID	PENNSYLVANIA
4	11663202	OTHER	PENNSYLVANIA	CAQH
5	BE9555484	OTHER	NEW YORK	DEA
6	867633	OTHER	PENNSYLVANIA	GROUP MEDICARE #
7	MD427961	OTHER	PENNSYLVANIA	MEDICAL LICENSE

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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