Provider Demographics
NPI:1114907060
Name:NABORS, ERIC D (MD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:D
Last Name:NABORS
Suffix:
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 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-339-2500
Mailing Address - Fax:717-339-2502
Practice Address - Street 1:18 DEATRICK DR
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-6958
Practice Address - Country:US
Practice Address - Phone:717-339-2500
Practice Address - Fax:717-339-2502
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABN4554398207X00000X
PAMD053174L207XS0117X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1551235Medicaid
200025811OtherRAILROAD MEDICARE
4672753OtherAETNA
5996083OtherCIGNA
G09482OtherTRICARE
66563OtherUNISON
10286OtherHEALTH AMERICA
127513OtherHIGHMARK
1690229-01OtherBEST
1002251OtherGATEWAY
1323619OtherUNITED HEALTHCARE
201746OtherUPMC
1100104OtherFIRST HEALTH
1002251OtherGATEWAY
PA127153Medicare ID - Type Unspecified