Provider Demographics
NPI:1598793978
Name:CATTERALL, MARK F (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:F
Last Name:CATTERALL
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:717-812-7300
Mailing Address - Fax:717-845-4625
Practice Address - Street 1:2775 N GEORGE ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-1020
Practice Address - Country:US
Practice Address - Phone:717-812-7300
Practice Address - Fax:717-845-4625
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD067432L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1143845OtherAMERIHEALTH MERCY-WMG
PA92274OtherUNISON-WMG
PA56183OtherGEISINGER
PAP002881OtherGATEWAY-WMG
PA294057OtherMAMSI-WMG
PA7350452OtherAETNA
PA480587OtherHIGHMARK BLUE SHIELD
MD779865OtherCAREFIRST MD BCBS
PA001745079Medicaid
PA01071701OtherCAPITAL BLUE CROSS-WMG
PA037978OtherJOHNS HOPKINS
PA080138850Medicare PIN
PA026212FLTMedicare PIN
PA026212EZ3Medicare PIN
PA001745079Medicaid