Provider Demographics
NPI:1104855022
Name:MCBETH, ORVILLE GLENN JR (MD)
Entity Type:Individual
Prefix:
First Name:ORVILLE
Middle Name:GLENN
Last Name:MCBETH
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 MEMORY LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2231
Mailing Address - Country:US
Mailing Address - Phone:717-337-4410
Mailing Address - Fax:717-337-0267
Practice Address - Street 1:820 CHAMBERSBURG RD
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-3310
Practice Address - Country:US
Practice Address - Phone:717-337-4410
Practice Address - Fax:717-337-0267
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD027200E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50054396OtherCAPITAL BLUE CROSS-WMG
PA057353OtherHIGHMARK BLUE SHIELD
MD648387OtherCAREFIRST MD BCBS
PA000949299Medicaid
PA4380671OtherAETNA
PA8357OtherGEISINGER
PA2142618OtherMAMSI-WMG
PA102359OtherJOHNS HOPKINS
PA170951OtherUNISON-WMG
PA0010068000OtherAMERIHEALTH 65 PA
PA20069238OtherAMERIHEALTH MERCY-WMG
PA4380671OtherAETNA
PA057353OtherHIGHMARK BLUE SHIELD
PA057353FLTMedicare PIN