Provider Demographics
NPI:1891724662
Name:BESTPRACTICES OF PENNSYLVANIA PC
Entity Type:Organization
Organization Name:BESTPRACTICES OF PENNSYLVANIA PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOM
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-205-9790
Mailing Address - Street 1:PO BOX 759018
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21275-0001
Mailing Address - Country:US
Mailing Address - Phone:570-321-0307
Mailing Address - Fax:904-346-0113
Practice Address - Street 1:777 RURAL AVE
Practice Address - Street 2:EMERGENCY DEPARTMENT
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-3109
Practice Address - Country:US
Practice Address - Phone:570-321-1000
Practice Address - Fax:904-346-0113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1017018180001Medicaid
PADF0102OtherRAILROAD MEDICARE
PABE001895969OtherHIGHMARK BCBS
PABE001895969OtherHIGHMARK BCBS
PADF0102OtherRAILROAD MEDICARE