Provider Demographics
NPI:1982636593
Name:HEILAND, ANGELA HARTY (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:HARTY
Last Name:HEILAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:HARTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
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:717-851-1300
Mailing Address - Fax:717-851-1310
Practice Address - Street 1:755 S PLEASANT AVE
Practice Address - Street 2:
Practice Address - City:DALLASTOWN
Practice Address - State:PA
Practice Address - Zip Code:17313-9252
Practice Address - Country:US
Practice Address - Phone:717-851-1300
Practice Address - Fax:717-851-1310
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD422751207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA154956OtherUNISON-WMG
PA50036789OtherCAPITAL BLUE CROSS-WMG
PA100999382Medicaid
PA107613OtherJOHNS HOPKINS
PA30152922OtherAMERIHEALTH CARITAS PA - WMG - THFPC
PA100450OtherGEISINGER
PA2128196OtherMAMSI-WMG
PA20035316OtherAMERIHEALTH MERCY-WMG
MD642257OtherCAREFIRST MARYLAND BCBS
PAP006122OtherGATEWAY-WMG
PA1428561OtherHIGHMARK BLUE SHIELD
PA7380931OtherAETNA
PAP00149055Medicare PIN
PAI12412Medicare UPIN
PA2128196OtherMAMSI-WMG
PA107613OtherJOHNS HOPKINS