Provider Demographics
NPI:1568488146
Name:MCCABE, JENNIFER WARD (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:WARD
Last Name:MCCABE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:WARD
Other - Suffix:
Other - Last Name Type:Former Name
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:717-812-2050
Mailing Address - Fax:717-812-2052
Practice Address - Street 1:4222 LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17406-8083
Practice Address - Country:US
Practice Address - Phone:717-812-2050
Practice Address - Fax:717-812-2052
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD418110207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001876526Medicaid
MD615616OtherCAREFIRST MD BCBS
PA7025483OtherAETNA
PA1341329OtherHIGHMARK BLUE SHIELD
PA16005OtherJOHNS HOPKINS
PA30088141OtherAMERIHEALTH MERCY-WMG
PA30146681OtherAMERIHEALTH CARITAS PENNSYLVANIA - WMG
PA03162901OtherCAPITAL BLUE CROSS-WMG
PA112683OtherUNISON-WMG
PA270094OtherMAMSI-WMG
PAP004687OtherGATEWAY-WMG
PA100457OtherGEISINGER
PA2033893000OtherAMERIHEALTH 65 PA
PA30152927OtherAMERIHEALTH CARITAS PA - WMG - THFPC
PA2033893000OtherAMERIHEALTH 65 PA
PA03162901OtherCAPITAL BLUE CROSS-WMG
PA1341329OtherHIGHMARK BLUE SHIELD