1245268515 NPI number — DR. ALMIRA ABBAS CONTRACTOR MD

Table of content: MRS. RANDELYON DENEISE OLIVER (NPI 1548084122)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245268515 NPI number — DR. ALMIRA ABBAS CONTRACTOR MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CONTRACTOR
Provider First Name:
ALMIRA
Provider Middle Name:
ABBAS
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245268515
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/10/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1803 MOUNT ROSE AVE
Provider Second Line Business Mailing Address:
SUITE B3
Provider Business Mailing Address City Name:
YORK
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17403-3026
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-851-1405
Provider Business Mailing Address Fax Number:
717-851-3498

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
605 S GEORGE ST
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17403-3160
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-851-2334
Provider Business Practice Location Address Fax Number:
717-851-3498
Provider Enumeration Date:
06/28/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  MD426702 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 7523856 . This is a "AETNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: P006739 . This is a "GATEWAY-YH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 100439 . This is a "GEISINGER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 101369044 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 168873 . This is a "UNISON-YH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1743509 . This is a "HIGHMARK BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 20045042 . This is a "AMERIHEALTH MERCY-YH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 50051376 . This is a "CAPITAL BLUE CROSS-YH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 646461 . This is a "CAREFIRST MD BCBS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 109921 . This is a "JOHNS HOPKINS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 213610 . This is a "MAMSI-YH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".