Provider Demographics
NPI:1265582613
Name:GEORGY, MATTHEW F (MD)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:F
Last Name:GEORGY
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 1:601 MEMORY LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2231
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:
Practice Address - Street 1:1001 S GEORGE ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3676
Practice Address - Country:US
Practice Address - Phone:717-851-5001
Practice Address - Fax:717-851-5114
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
PAMD432596207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50078247OtherCAPITAL BLUE CROSS-WMG
PA102164300Medicaid
PA1572188OtherGATEWAY-WMG
PA30156223OtherAMERIHEATH CARITAS - GH
PA118661OtherGEISINGER HEALTH PLAN
PA2049969OtherHIGHMARK BLUE SHIELD
PA20076029OtherAMERIHEALTH MERCY-WMG
PA30124652OtherAMERIHEALTH MERCY - WSRH
PA9636169OtherAETNA
PA210579OtherJOHNS HOPKINS
PA244726OtherUNISON-WMG
PA244726OtherUNISON-WMG
PAP00665199Medicare PIN
PA210579OtherJOHNS HOPKINS
PA126148GVQMedicare PIN