Provider Demographics
NPI:1932160306
Name:DEARMITT, DON A (MD)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:A
Last Name:DEARMITT
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 1:2310 PATTON RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-9154
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2310 PATTON ROAD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-9152
Practice Address - Country:US
Practice Address - Phone:717-724-6500
Practice Address - Fax:717-724-6510
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2021-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD043026E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001411225Medicaid
PA736715OtherHIGHMARK BLUE SHIELD
PA080148653OtherRAILROAD MEDICARE
PA0014112250022Medicaid
PA736715D99Medicare PIN