Provider Demographics
NPI:1275528945
Name:GILFERT, JOHN D (DPM)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:D
Last Name:GILFERT
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5108 E TRINDLE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050
Mailing Address - Country:US
Mailing Address - Phone:717-761-3161
Mailing Address - Fax:717-763-9581
Practice Address - Street 1:5108 E TRINDLE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050
Practice Address - Country:US
Practice Address - Phone:717-761-3161
Practice Address - Fax:717-763-9581
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC003371L213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAT93001Medicare UPIN
PA603705JFTMedicare PIN