Provider Demographics
NPI:1114924313
Name:PINDZOLA, JEFFERSON ANDER (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFERSON
Middle Name:ANDER
Last Name:PINDZOLA
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 1:601 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:
Mailing Address - Fax:
Practice Address - Street 1:1001 S GEORGE ST
Practice Address - Street 2:YORK HOSPITAL, DEPARTMENT OF PATHOLOGY
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3676
Practice Address - Country:US
Practice Address - Phone:717-851-5034
Practice Address - Fax:717-851-5114
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD067107L207ZH0000X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1140779OtherAMERIHEALTH
PA1537595OtherGATEWAY
PA30124658OtherAMERIHEALTH MERCY - WSRH
PA100993OtherGEISINGER
PA1453047OtherHIGHMARK BLUE SHIELD
PAP00339403OtherRAILROAD MEDICARE
PA001836496Medicaid
PA30147836OtherAMERIHEALTH CARITAS-GH
PA50067278OtherCAPITAL BLUE CROSS
PAH37221Medicare UPIN
PA047838EZ3Medicare PIN
PA001836496Medicaid
PA30147836OtherAMERIHEALTH CARITAS-GH