Provider Demographics
NPI:1811083264
Name:MEMINGER, JUDY CARHART (MD)
Entity type:Individual
Prefix:
First Name:JUDY
Middle Name:CARHART
Last Name:MEMINGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JUDY
Other - Middle Name:ANN
Other - Last Name:CARHART
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:466 ARLINGTON ROAD
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-2106
Mailing Address - Country:US
Mailing Address - Phone:717-975-9280
Mailing Address - Fax:
Practice Address - Street 1:3255 BELMONT ST
Practice Address - Street 2:BUILDING 1796 YORK VA CLINIC
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-1913
Practice Address - Country:US
Practice Address - Phone:717-854-2481
Practice Address - Fax:717-854-2442
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD019633E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C30695Medicare UPIN
PACA119987Medicare PIN