Provider Demographics
NPI:1255371282
Name:GINGERICH, KARIN MARIE (DO)
Entity type:Individual
Prefix:MRS
First Name:KARIN
Middle Name:MARIE
Last Name:GINGERICH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MRS
Other - First Name:KARIN
Other - Middle Name:MARIE
Other - Last Name:PIKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1225 EAST MARKET STREET
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403
Mailing Address - Country:US
Mailing Address - Phone:717-846-2168
Mailing Address - Fax:717-699-1300
Practice Address - Street 1:1225 EAST MARKET STREET
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403
Practice Address - Country:US
Practice Address - Phone:717-846-2168
Practice Address - Fax:717-699-1300
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS013673207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1016605780001Medicaid
PA103478J2Medicare UPIN