Provider Demographics
NPI:1720022957
Name:PLITT, CALVIN E (MD)
Entity Type:Individual
Prefix:
First Name:CALVIN
Middle Name:E
Last Name:PLITT
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 1:25 MONUMENT RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-5060
Mailing Address - Country:US
Mailing Address - Phone:717-851-2441
Mailing Address - Fax:717-812-4867
Practice Address - Street 1:25 MONUMENT RD
Practice Address - Street 2:SUITE 200
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5060
Practice Address - Country:US
Practice Address - Phone:717-851-2441
Practice Address - Fax:717-812-4867
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD423194207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1554573OtherHIGHMARK BLUE SHIELD
PA50026125OtherCAPITAL BLUE CROSS
PA100852139Medicaid
PAP00223056OtherRAILROAD MEDICARE PIN
PA50026125OtherCAPITAL BLUE CROSS
PAP00223056OtherRAILROAD MEDICARE PIN