Provider Demographics
NPI:1891727723
Name:MOORE, DAVID SADLER (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:SADLER
Last Name:MOORE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-339-3175
Mailing Address - Fax:717-642-9632
Practice Address - Street 1:4910 FAIRFIELD RD STE A
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:PA
Practice Address - Zip Code:17320-9510
Practice Address - Country:US
Practice Address - Phone:717-339-3175
Practice Address - Fax:717-255-0950
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD036168E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD606558OtherCAREFIRST MD BCBS
PA247876OtherMAMSI-WMG
PA5128019OtherAETNA
PA110170OtherUNISON-WMG
PA104603OtherJOHNS HOPKINS
PA518937OtherHIGHMARK BLUE SHIELD
MD0107557Medicaid
PA20013076OtherAMERIHEALTH MERCY-WMG
PA01889802OtherCAPITAL BLUE CROSS-WMG
PA811OtherGEISINGER
PA0011164777Medicaid
PAP004991OtherGATEWAY-WMG
MD606558OtherCAREFIRST MD BCBS
PA5128019OtherAETNA
PA811OtherGEISINGER