Provider Demographics
NPI:1396881660
Name:YORK SURGICAL ASSOCIATES INC
Entity type:Organization
Organization Name:YORK SURGICAL ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:G
Authorized Official - Middle Name:PHILIP
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:717-751-4730
Mailing Address - Street 1:1030 PLYMOUTH ROAD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-3862
Mailing Address - Country:US
Mailing Address - Phone:717-751-4730
Mailing Address - Fax:717-751-6012
Practice Address - Street 1:1030 PLYMOUTH ROAD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-3862
Practice Address - Country:US
Practice Address - Phone:717-751-4730
Practice Address - Fax:717-751-6012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS003349L208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACN4262Medicare PIN
PA001057Medicare PIN