Provider Demographics
NPI:1366479214
Name:ZELIS, DAVID WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:WILLIAM
Last Name:ZELIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-812-4240
Mailing Address - Fax:717-848-5520
Practice Address - Street 1:2050 S QUEEN ST
Practice Address - Street 2:STE 100
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-4829
Practice Address - Country:US
Practice Address - Phone:717-812-4240
Practice Address - Fax:717-848-5520
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD424087208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1625081OtherHIGHMARK BLUE SHIELD
PA20036422OtherAMERIHEALTH MERCY-WMG
PA100497OtherGEISINGER
PA154874OtherUNISON-WMG
PA50035022OtherCAPITAL BLUE CROSS-WMG
PA7789848OtherAETNA
PAP006239OtherGATEWAY-WMG
PA2128168OtherMAMSI-WMG
PA108355OtherJOHNS HOPKINS
PA101006816Medicaid
PA101006816Medicaid
PA2128168OtherMAMSI-WMG
PA173905FLTMedicare PIN