Provider Demographics
NPI:1134124282
Name:HARSHBERGER, SAMUEL F (MD)
Entity Type:Individual
Prefix:
First Name:SAMUEL
Middle Name:F
Last Name:HARSHBERGER
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 1:925 SETON DR
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-1817
Mailing Address - Country:US
Mailing Address - Phone:301-724-7146
Mailing Address - Fax:301-724-5628
Practice Address - Street 1:925 SETON DR
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-1817
Practice Address - Country:US
Practice Address - Phone:301-724-7146
Practice Address - Fax:301-724-5628
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0017862207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0935010001OtherADMINASTAR DME
MD0935010001OtherHEALTH NOW NY
MDT999001OtherBC BS NATIONAL
MD0900399OtherUNITED HEALTHCARE
MD433229OtherMAMSI/MDIPA/OPT
MD5023127OtherAETNA
MD68563301OtherCAREFIRST BC BS
MDH615F478OtherUMWA MEDICARE
MDH615F478OtherUMWA MEDICARE
MDH615F478Medicare ID - Type Unspecified