Provider Demographics
NPI:1457350910
Name:NEUREUTER, LOUIS JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:JOHN
Last Name:NEUREUTER
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 1:25 EJAMES ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602-5107
Mailing Address - Country:US
Mailing Address - Phone:717-397-0555
Mailing Address - Fax:717-397-8660
Practice Address - Street 1:25 EJAMES ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-5107
Practice Address - Country:US
Practice Address - Phone:717-397-0555
Practice Address - Fax:717-397-8660
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-18
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-017973-E207RP1001X, 2083P0011X
PAMD 017973-E207RS0012X
PAMD017973E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009254930002Medicaid
PA01469801OtherCBC PRACTIONER ID
PA01469801OtherPEBTF
0474285OtherAETNA HMO SPECIALIST
PA45635OtherHEALTH AMERICA & ASSURANC
5651305OtherAETNA COMMERCIAL
1520890OtherGATEWAY HEALTH PLAN
444111588OtherPALMETTO GBA RAILROAD MED
626531OtherANTHEM BLUE CROSS & BS
7303639001OtherCIGNA
0474450OtherAETNA HMO PRIMARY CARE
PA058809OtherHIGHMARK
PA1011218OtherAMERIHEALTH MERCY
248936OtherMAMSI
80320016U08100OtherAHPC DEDICATED SERVICE
06010110OtherBENCHMARK HEALTH INSURANC
J58809OtherAMERIHEALTH ADMINISTRATOR
24869 3107OtherGEISINGER HEALTH PLAN
31011OtherSOUTH CENTRAL PREFERRED
PA45635OtherHEALTH AMERICA & ASSURANC
0474450OtherAETNA HMO PRIMARY CARE
J58809OtherAMERIHEALTH ADMINISTRATOR
PA45635OtherHEALTH AMERICA & ASSURANC