Provider Demographics
NPI:1346285574
Name:HERSHEY, CURTIS L (MD)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:L
Last Name:HERSHEY
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 1:1635 W MAIN ST
Mailing Address - Street 2:SUITE 700
Mailing Address - City:EPHRATA
Mailing Address - State:PA
Mailing Address - Zip Code:17522-1119
Mailing Address - Country:US
Mailing Address - Phone:717-738-0660
Mailing Address - Fax:717-738-0658
Practice Address - Street 1:1635 W MAIN ST
Practice Address - Street 2:SUITE 700
Practice Address - City:EPHRATA
Practice Address - State:PA
Practice Address - Zip Code:17522-1119
Practice Address - Country:US
Practice Address - Phone:717-738-0660
Practice Address - Fax:717-738-0658
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD427551207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
7555773OtherAETNA NON-HMO
PA1874594OtherHIGHMARK BLUE SHIELD
PAP006866OtherGATEWAY HEALTH PLAN
PA1429959OtherAETNA HMO
PA1016282170001Medicaid
PA107753 S1QFOtherGEISINGER HEALTH PLAN
PA50060204OtherCAPITAL BLUE CROSS
PA50061890OtherCAPITAL BLUE CROSS
PA50061960OtherCAPITAL BLUE CROSS
PAP00373601OtherRAILROAD MEDICARE
PA107753 S1QFOtherGEISINGER HEALTH PLAN
PA50061890OtherCAPITAL BLUE CROSS