Provider Demographics
NPI:1225115553
Name:YORK PLASTIC SURGERY ASSOC LTD
Entity Type:Organization
Organization Name:YORK PLASTIC SURGERY ASSOC LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:YOST
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:717-741-0877
Mailing Address - Street 1:50 WYNTRE BROOKE DRIVE
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403
Mailing Address - Country:US
Mailing Address - Phone:717-741-0877
Mailing Address - Fax:717-741-2927
Practice Address - Street 1:50 WYNTRE BROOKE DRIVE
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403
Practice Address - Country:US
Practice Address - Phone:717-741-0877
Practice Address - Fax:717-741-2927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA128264OtherHIGHMARK BS
CD6244OtherRAILROAD MEDICARE
PA128264OtherHIGHMARK BS