Provider Demographics
NPI:1124015466
Name:WEHIBE, STEPHEN S (MD)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:S
Last Name:WEHIBE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 ABBEYVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-4603
Mailing Address - Country:US
Mailing Address - Phone:717-291-5991
Mailing Address - Fax:717-291-5806
Practice Address - Street 1:101 ABBEYVILLE RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-4603
Practice Address - Country:US
Practice Address - Phone:717-291-5991
Practice Address - Fax:717-291-5806
Is Sole Proprietor?:No
Enumeration Date:2005-10-03
Last Update Date:2007-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD068926L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017545230001Medicaid
PA01913301OtherCAPITAL BLUE CROSS
PA2211819OtherAETNA HMO
PA55512 S1QDOtherGEISINGER HEALTH PLAN
PAP002510OtherGATEWAY HEALTH PLAN
PA5922667OtherAETNA NON-HMO
PAG78357OtherHEALTH ASSURANCE
PA544334OtherHIGHMARK BLUE SHIELD
PA5922667OtherAETNA NON-HMO
PA01913301OtherCAPITAL BLUE CROSS