Provider Demographics
NPI:1093708372
Name:NORMINGTON, ERNEST Y III (MD)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:Y
Last Name:NORMINGTON
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 WALTER DRIVE
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-9367
Mailing Address - Country:US
Mailing Address - Phone:570-524-7777
Mailing Address - Fax:570-523-9165
Practice Address - Street 1:135 WALTER DRIVE
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-9367
Practice Address - Country:US
Practice Address - Phone:570-524-7777
Practice Address - Fax:570-523-9165
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2010-12-15
Deactivation Date:2006-03-27
Deactivation Code:
Reactivation Date:2006-04-03
Provider Licenses
StateLicense IDTaxonomies
PADS017219L2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
E52204Medicare UPIN
PA622095SGOMedicare ID - Type Unspecified