Provider Demographics
NPI:1083780902
Name:JOYNER, DAVID M (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:M
Last Name:JOYNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4309 LINGLESTOWN RD
Mailing Address - Street 2:STE 203
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-8624
Mailing Address - Country:US
Mailing Address - Phone:717-433-0910
Mailing Address - Fax:717-651-9512
Practice Address - Street 1:4309 LINGLESTOWN RD
Practice Address - Street 2:STE 203
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-8624
Practice Address - Country:US
Practice Address - Phone:717-433-0910
Practice Address - Fax:717-651-9512
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD020092E207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAJO089531KAOMedicare ID - Type UnspecifiedMEDICARE#
1053541078OtherASPIRE FM NPI
PA000778191Medicaid
1467682484OtherASPIRE UC NPI
151017OtherASPIRE MEDICARE
PA1225278922OtherASPIRE NPI
PAB35415Medicare UPIN