Provider Demographics
NPI:1710947197
Name:YORDY, STEVEN EDWARD (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:EDWARD
Last Name:YORDY
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 1:7 DOCK HILL RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17842-8910
Mailing Address - Country:US
Mailing Address - Phone:570-837-2123
Mailing Address - Fax:570-837-2185
Practice Address - Street 1:151 JOHN BRADY DR
Practice Address - Street 2:
Practice Address - City:MUNCY
Practice Address - State:PA
Practice Address - Zip Code:17756-8401
Practice Address - Country:US
Practice Address - Phone:570-935-0468
Practice Address - Fax:570-935-0479
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-28
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD063281L207QA0401X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017057340006Medicaid
PA0017057340006Medicaid
PA272430OtherHIGHMARK BLUE SHIELD
PA5790674OtherAETNA
PAG68315OtherHEALTHAMERICA
PAP00259555Medicare PIN
PA0017057340006Medicaid
G68315Medicare UPIN