Provider Demographics
NPI:1083681621
Name:WESTPHAL, THOMAS RUSSELL (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:RUSSELL
Last Name:WESTPHAL
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2150 HARRISBURG PIKE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-2644
Mailing Address - Country:US
Mailing Address - Phone:717-358-0800
Mailing Address - Fax:717-358-0802
Practice Address - Street 1:2150 HARRISBURG PIKE
Practice Address - Street 2:SUITE 200
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2644
Practice Address - Country:US
Practice Address - Phone:717-358-0800
Practice Address - Fax:717-358-0802
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2020-04-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD030417E207X00000X
NYMD199841207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA4622090OtherAETNA
PA30009073OtherKEYSTONE MERCY HEALTH PLA
PAWE189650OtherHIGHMARK BLUE SHIELD
PA15164970007Medicaid
PA200035250OtherRAILROAD MEDICARE
PA5710OtherGEISINGER HEALTH PLAN
PA0993823OtherKEYSTONE HEALTH CENTRAL
PA1523078OtherGATEWAY
PA01707702OtherCAPITAL BLUE CROSS
PA255326000OtherAMERIHEALTH65
PA2109635OtherAETNA
PA116603OtherUNISON
PA126301OtherHEALTH ASSURANCE HEALTH A
PA32249HOtherAMERIHEALTH MERCY
PA5627335OtherCIGNA
PA255326000OtherAMERIHEALTH65
PA4622090OtherAETNA