Provider Demographics
NPI:1902824535
Name:DIPASQUALE, KAREN JEAN (DO)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:JEAN
Last Name:DIPASQUALE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1803 MOUNT ROSE AVE
Mailing Address - Street 2:SUITE B3
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3026
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-851-6969
Practice Address - Street 1:1001 S GEORGE ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3676
Practice Address - Country:US
Practice Address - Phone:717-851-2450
Practice Address - Fax:717-851-3469
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS5667207P00000X
PAOS014567207PP0204X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207PP0204XAllopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA20085773OtherAMERIHEALTH MERCY-WMG
PA269337OtherUNISON-YH
PA1579022OtherGATEWAY-WMG
PA50084413OtherCAPITAL BLUE CROSS-WMG
FL80708OtherBLUE CROSS OF FLORIDA
PA102265080Medicaid
PA2095573OtherHIGHMARK BLUE SHIELD
FL372116700Medicaid
FL80708OtherBLUE CROSS OF FLORIDA
PA269337OtherUNISON-YH
FL80708WMedicare PIN
PA1579022OtherGATEWAY-WMG
PA102265080Medicaid