Provider Demographics
NPI:1982636148
Name:MARKS, CHARLES HALE (DO)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:HALE
Last Name:MARKS
Suffix:
Gender:M
Credentials:DO
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:717-337-4487
Mailing Address - Fax:717-461-7149
Practice Address - Street 1:450 S WASHINGTON ST
Practice Address - Street 2:SUITE B
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-2500
Practice Address - Country:US
Practice Address - Phone:717-337-4487
Practice Address - Fax:717-461-7149
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS005391L207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5720208OtherAETNA
PA104604OtherJOHNS HOPKINS
MD544920OtherCAREFIRST MD BCBS
PA1520726OtherGATEWAY-WMG
PA1538101OtherCAPITAL BLUE CROSS-WMG
MD300800200Medicaid
PA001025069Medicaid
PA20013081OtherAMERIHEALTH MERCY-WMG
PA0027331000OtherAMERIHEALTH 65 PA
PA107288OtherUNISON-WMG
PA393142OtherMAMSI-WMG
PA097995OtherHIGHMARK BLUE SHIELD
PA10061OtherGEISINGER
MD544920OtherCAREFIRST MD BCBS
PA104604OtherJOHNS HOPKINS
PA001025069Medicaid