Provider Demographics
NPI:1356341945
Name:MOZDY, FRANK E (MD)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:E
Last Name:MOZDY
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:717-851-6969
Practice Address - Street 1:112 N 7TH ST
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-1720
Practice Address - Country:US
Practice Address - Phone:717-217-4300
Practice Address - Fax:717-217-4399
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-26
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD033462E207Q00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1504272OtherGATEWAY
PA2130308OtherMAMSI
PAP00191543OtherRAILROAD MEDICARE
PA25-1716306OtherINFORMED
PA25-1716306OtherHEALTHNET/TRICARE
PA404327OtherHEALTH AMERICA
PA867633OtherMEDICARE GROUP #
PAMD033462EOtherLICENSE
PA1801151OtherAETNA HMO
PA25-1716306OtherMULTIPLAN/PHCS
PA50087509OtherCAPITAL BLUECROSS (WH)
PA25-1716306OtherGREATWEST HEALTHCARE
PA25-1716306OtherDEVON
PA25-1716306OtherSOUTH CENTRAL PREFERRED
PA647208-01/KDM4OtherCAREFIRST
PA1007307260034OtherMEDICAID GROUP #
PA4098681OtherAETNA NON-HMO
PA1120869OtherFIRST HEALTH
PA25-1716306OtherINTERGROUP
PA120420410OtherDEPT OF LABOR
PA164272OtherUNISON
PA93254OtherHIGHMARK BLUESHIELD
PA0010074360006Medicaid
PA50045590OtherCAPITAL BLUECROSS (CH)
PAAM2311025OtherDEA
PA25-1716306OtherINTERGROUP
PA867633OtherMEDICARE GROUP #