Provider Demographics
NPI:1912977331
Name:BECKER, CARL E II (MD)
Entity Type:Individual
Prefix:
First Name:CARL
Middle Name:E
Last Name:BECKER
Suffix:II
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 1:2106 HARRISBURG PIKE
Mailing Address - Street 2:STE 116
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-2644
Mailing Address - Country:US
Mailing Address - Phone:717-358-0800
Mailing Address - Fax:
Practice Address - Street 1:2106 HARRISBURG PIKE
Practice Address - Street 2:STE 116
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2644
Practice Address - Country:US
Practice Address - Phone:717-393-1900
Practice Address - Fax:888-972-8301
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD059991L207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA7172442OtherAETNA NON HMO
PA848343OtherCIGNA
PA140935OtherTHREE RIVERS
PA50014859OtherCAPITAL BLUE CROSS
PA78473OtherGEISINGER HEALTH PLAN
PA1946470Medicaid
PA19464700002Medicaid
PABE347673OtherHIGHMARK BLUE SHIELD
PA20025341OtherAMERIHEALTH MERCY
PA0347673OtherKEYSTONE HEALTH CENTRAL
PA1533317OtherGATEWAY
PA207704OtherHEALTH ASSURANCE
PA3143381OtherAETNAHMO
PA848343OtherCIGNA
PA1946470Medicaid
PA207704OtherHEALTH ASSURANCE