Provider Demographics
NPI:1598006082
Name:MARKEY, DANIELLE R (PA-C)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:R
Last Name:MARKEY
Suffix:
Gender:F
Credentials:PA-C
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:717-812-5400
Mailing Address - Fax:717-741-3598
Practice Address - Street 1:228 SAINT CHARLES WAY STE 300
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-4661
Practice Address - Country:US
Practice Address - Phone:717-812-5400
Practice Address - Fax:717-741-3598
Is Sole Proprietor?:No
Enumeration Date:2013-03-07
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPA4582363A00000X
RIPA00672363A00000X
PAMA056063363AM0700X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1620007OtherGATEWAY MEDICARE ASSURED
PA279401FLTMedicare PIN
PA1620007OtherGATEWAY MEDICARE ASSURED