Provider Demographics
NPI:1992852263
Name:DEMUTH, FRANCIS CHARLES (DO)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:CHARLES
Last Name:DEMUTH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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 STREET
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17405
Practice Address - Country:US
Practice Address - Phone:717-851-2450
Practice Address - Fax:717-851-3469
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH0062850207P00000X
PAOS014187207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1995610OtherHIGHMARK BLUE SHIELD
PA20067569OtherAMERIHEALTH MERCY YH
PA9648078OtherAETNA
PA212038OtherJOHNS HOPKINS
PA102000586Medicaid
PA113880OtherGEISINGER HEALTH PLAN
PA1568280OtherGATEWAY-WMG
PA50072246OtherCAPITAL BLUE CROSS-YH
PA233518OtherUNISON-WMG
PA233518OtherUNISON-WMG
PA102000586Medicaid
PAP00632695Medicare PIN