Provider Demographics
NPI:1689604373
Name:WAMPLER, DAVID LEE (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:LEE
Last Name:WAMPLER
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 1:601 MEMORY LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2231
Mailing Address - Country:US
Mailing Address - Phone:717-337-4410
Mailing Address - Fax:
Practice Address - Street 1:820 CHAMBERSBURG RD
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-3310
Practice Address - Country:US
Practice Address - Phone:717-337-4410
Practice Address - Fax:717-337-0267
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD025298E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50054397OtherCAPITAL BLUE CROSS-WMG
PA170949OtherUNISON-WMG
PA181077OtherHIGHMARK BLUE SHIELD
PA4380691OtherAETNA
MD648379OtherCAREFIRST MD BCBS
PA11406OtherGEISINGER
PA20069242OtherAMERIHEALTH MERCY-WMG
PA2142611OtherMAMSI-WMG
PA000904359Medicaid
PA102361OtherJOHNS HOPKINS
PAP008825OtherGATEWAY
PA11406OtherGEISINGER
PA170949OtherUNISON-WMG
PA2142611OtherMAMSI-WMG