Provider Demographics
NPI:1265450373
Name:KONCHAR, WILLIAM CARL (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:CARL
Last Name:KONCHAR
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 1:1803 MOUNT ROSE AVE
Mailing Address - Street 2:SUITE B3
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3051
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-851-1810
Practice Address - Street 1:1010 PLYMOUTH RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-3864
Practice Address - Country:US
Practice Address - Phone:717-851-1800
Practice Address - Fax:717-851-1810
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD021058E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01059703OtherCAPITAL BC-WMG WHEATLYN
PA1142359OtherAH MERCY-WMG EYFM
PA01059701OtherCAPITAL BC-WMG EYFM
PAP002797OtherGATEWAY-WMG
PA261038OtherUNISON-WMG VGFM
PA152193OtherUNISON-WMG WHEATLYN
PA000692462Medicaid
PA20016411OtherAH MERCY-WMG WHEATLYN
PA243586OtherMAMSI-WMG
PA30279OtherJOHNS HOPKINS
PA071443OtherHIGHMARK BLUE SHIELD
PA50083205OtherCAPITAL BLUE CROSS-WMG VGFM
PA5371268OtherAETNA
PA015OtherGEISINGER
MD543948OtherCAREFIRST MD BCBS
PA80958OtherUNISON-WMG EYFM
PA071443FLTMedicare PIN
PA152193OtherUNISON-WMG WHEATLYN
PA243586OtherMAMSI-WMG