Provider Demographics
NPI:1033320551
Name:LJUBISA M. STANKOVIC, M.D., PC
Entity Type:Organization
Organization Name:LJUBISA M. STANKOVIC, M.D., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LJUBISA
Authorized Official - Middle Name:MIHAJLO
Authorized Official - Last Name:STANKOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-763-4383
Mailing Address - Street 1:797 POPLAR CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-2314
Mailing Address - Country:US
Mailing Address - Phone:717-763-4383
Mailing Address - Fax:717-763-4953
Practice Address - Street 1:797 POPLAR CHURCH RD
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-2314
Practice Address - Country:US
Practice Address - Phone:717-763-4383
Practice Address - Fax:717-763-4953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD037459L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA443111398OtherRAILROAD MEDICARE
PAMD037459LOtherSTATE LICENCE
PA50002585OtherCAPITAL BLUE CROSS
PA0007440400001Medicaid
PAST025763OtherHIGHMARK BLUE SHIELD
PAST025763OtherHIGHMARK BLUE SHIELD
PA0007440400001Medicaid
PA443111398OtherRAILROAD MEDICARE