Provider Demographics
NPI:1811925860
Name:FERRENTINO, FRANK L (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:L
Last Name:FERRENTINO
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 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-2613
Mailing Address - Fax:717-851-2602
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:717-851-2613
Practice Address - Fax:717-851-2602
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD036875E208000000X, 2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001071428Medicaid
PA20101245OtherAMERIHEALTH MERCY-YHOBT
PA1512881OtherGATEWAY-WMG
PA7573463OtherAETNA
PA80823OtherUNISON-WMG
PA341497OtherMAMSI-WMG
MD005626000Medicaid
PA03122901OtherCAPITAL BLUE CROSS-WMG
PA38516OtherGEISINGER
PA1142821OtherAMERIHEALTH MERCY-WMG
PW30265OtherJOHNS HOPKINS
MD543417OtherCAREFIRST MD BCBS
PA481552OtherHIGHMARK BLUE SHIELD
PA20101245OtherAMERIHEALTH MERCY-YHOBT
PA001071428Medicaid