Provider Demographics
NPI:1538100706
Name:DEVLIN, JOSEPH MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:MICHAEL
Last Name:DEVLIN
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 1:3421 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:717-812-5229
Mailing Address - Fax:717-266-7453
Practice Address - Street 1:235 ROSEDALE DR
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:PA
Practice Address - Zip Code:17345-1022
Practice Address - Country:US
Practice Address - Phone:717-812-5229
Practice Address - Fax:717-266-7453
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD026954E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01465401OtherCAPITAL BLUE CROSS/KEYSTO
PA20013110OtherAMERIHEALTH MERCY HANNAH
PA001966594Medicaid
PAP002782OtherGATEWAY HEALTH PLAN
PA55465OtherHIGHMARK BLUE SHIELD
PA92965OtherUNISON
PAB96858OtherHEALTH AMERICA/HEALTH ASS
PA1140823OtherAMERIHEALTH MERCY GEORGE
PA1147649OtherAMERIHEALTH MERCY HANOVER
PA20013116OtherAMERIHEALTH MERCY LEWISBE
PA20013116OtherAMERIHEALTH MERCY LEWISBE
PAB96858OtherHEALTH AMERICA/HEALTH ASS
PA92965OtherUNISON
PA001966594Medicaid