Provider Demographics
NPI:1841236221
Name:MUZZIO, KEVIN ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:ROBERT
Last Name:MUZZIO
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 1:2864 DEER CHASE LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-9584
Mailing Address - Country:US
Mailing Address - Phone:717-741-9869
Mailing Address - Fax:
Practice Address - Street 1:2864 DEER CHASE LN
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-9584
Practice Address - Country:US
Practice Address - Phone:717-741-9869
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD051882L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA683258OtherHIGHMARK BLUE SHIELD
MD748325OtherCAREFIRST MD BCBS
PA037972OtherJOHNS HOPKINS
PA001518778Medicaid
PA5498493OtherAETNA
PA60479OtherGEISINGER
PA110186927Medicare PIN
PA037972OtherJOHNS HOPKINS
PA683258FLTMedicare PIN
PA683258OtherHIGHMARK BLUE SHIELD
PA037972OtherJOHNS HOPKINS
PAP002846OtherGATEWAY-WMG
PA01110901OtherCAPITAL BLUE CROSS-WMG /AHIM
MD748325OtherCAREFIRST MD BCBS
PA20036196OtherAMERIHEALTH MERCY-WMG
PA264456OtherMAMSI-WMG