TRAVIS R. NEELY M.D. NPI 1932116654

NPI Information

NPI: 1932116654
Provider Name: TRAVIS R. NEELY, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2050 S QUEEN ST
STE 100
YORK, PA
ZIP 17403
Phone: (717) 812-4240
Get Directions

Travis R. Neely, M.D. is a pediatrics in York, PA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Travis R. Neely, M.D. NPI is 1932116654. 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:

2050 S QUEEN ST
STE 100
YORK, PA
ZIP 17403-829
Phone: (717) 812-4240
Fax: (717) 848-5520

The NPI 1932116654 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 8/2/2006 and was last updated on 3/7/2014.

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	208000000X	Pediatrics		MD439573	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	303397	OTHER	PENNSYLVANIA	UNISON-WMG
2	2548381	MEDICAID	OHIO
3	3810005968	MEDICAID	WEST VIRGINIA
4	4187802	MEDICARE PIN	OHIO
5	30073061	OTHER	PENNSYLVANIA	AMERIHEALTH MERCY-WMG
6	102440921	MEDICAID	PENNSYLVANIA
7	P009073	OTHER	PENNSYLVANIA	GATEWAY-WMG
8	179161FLT	MEDICARE PIN	PENNSYLVANIA
9	4187803	MEDICARE PIN	WEST VIRGINIA
10	414478	OTHER	PENNSYLVANIA	UPMC-WMG
11	1883146	OTHER	PENNSYLVANIA	HIGHMARK BLUE SHIELD-WMG
12	000000486819	OTHER		ANTHEM BCBS
13	001883146	OTHER		MOUNTAIN STATE BCBS

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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