Provider Demographics
NPI:1982667754
Name:DIEHL, MARK P (DO)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:P
Last Name:DIEHL
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1803 MOUNT ROSE AVE
Mailing Address - Street 2:SUITE B3
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3051
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-339-2771
Practice Address - Street 1:40 V-TWIN DR
Practice Address - Street 2:SUITE 205
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-7878
Practice Address - Country:US
Practice Address - Phone:717-339-2790
Practice Address - Fax:717-339-2771
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2016-06-13
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Provider Licenses
StateLicense IDTaxonomies
PAOS012824207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA20077605OtherAMERIHEALTH MERCY-WMG
PA80602OtherGEISINGER HEALTH PLAN
PA101308844Medicaid
PA1548009OtherGATEWAY-WMG
PA1744992OtherHIGHMARK BLUE SHIELD
MD932335OtherCAREFIRST MD BCBS
PA241340OtherUNISON-WMG
PA7335757OtherAETNA
PA50078161OtherCAPITAL BLUE CROSS-WMG
PA210561OtherJOHNS HOPKINS
PA1548009OtherGATEWAY-WMG
PA1744992OtherHIGHMARK BLUE SHIELD