Provider Demographics
NPI:1467483982
Name:SANSTEAD, JOHN KENNETH (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:KENNETH
Last Name:SANSTEAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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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:17403-3026
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-851-6577
Practice Address - Street 1:296 SAINT CHARLES WAY
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402
Practice Address - Country:US
Practice Address - Phone:717-851-6567
Practice Address - Fax:717-851-6577
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD021566E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01059201OtherCAPITAL BLUE CROSS-WMG
PA30083OtherJOHNS HOPKINS
PA000650758Medicaid
PA1142434OtherAMERIHEALTH MERCY-WMG
PA39265OtherGEISINGER
PAP002878OtherGATEWAY-WMG
PA233237OtherMAMSI-WMG
PA130626OtherHIGHMARK BLUE SHIELD
PA5698060OtherAETNA
PA0068514000OtherAMERIHEALTH 65 PA
MD543246OtherCAREFIRST MD BCBS
PA84540OtherUNISON-WMG
PA84540OtherUNISON-WMG
PA5698060OtherAETNA
PA130626FLTMedicare PIN