Provider Demographics
NPI:1245256080
Name:JOY, TERESA M (DO)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:M
Last Name:JOY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:785 5TH AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4232
Mailing Address - Country:US
Mailing Address - Phone:717-263-9555
Mailing Address - Fax:717-709-6529
Practice Address - Street 1:12 ST PAUL DR STE 203
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-1035
Practice Address - Country:US
Practice Address - Phone:717-264-6511
Practice Address - Fax:717-264-1081
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
261QU0200X
PAOS013264207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA25-1716306OtherSOUTH CENTRAL PREFERRED
PA6682103OtherAETNA HMO
PA7860132OtherAETNA NON-HMO
PA2148070OtherMAMSI
PA25-1716306OtherINFORMED
PA255499OtherUNISON
PAP009161OtherGATEWAY
PA25-1716306OtherHEALTHNET/TRICARE
PAP00683486OtherRAILROAD MEDICARE
PA25-1716306OtherINTERGROUP
PA25-1716306OtherFIRST HEALTH
PAG920-0112/KDM4CUOtherCAREFIRST
1245256080OtherNPI
PA25-1716306OtherGREATWEST
PA25-1716306OtherMULTIPLAN/PHCS
PA50085112OtherCAPITAL BLUECROSS
PAOS013264OtherLICENSE
PA102213333 0001Medicaid
PA120420417OtherDEPT OF LABOR
PA25-1716306OtherDEVON
PA891897OtherHEALTH AMERICA
PAJO1717292OtherHIGHMARK BLUE SHIELD
PAJO1717292OtherHIGHMARK BLUE SHIELD
PAP00683486OtherRAILROAD MEDICARE
PA891897OtherHEALTH AMERICA