1679560858 NPI number — DR. FRANCIS B BOBEK MD

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679560858 NPI number — DR. FRANCIS B BOBEK MD

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

BOBEK

Provider First Name:

FRANCIS

Provider Middle Name:

B

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

Provider Credential Text:

MD

Provider Gender Code:

M

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:

1679560858

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

08/06/2020

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

100 N ACADEMY AVE

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

DANVILLE

Provider Business Mailing Address State Name:

PA

Provider Business Mailing Address Postal Code:

17822-4903

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

570-271-6144

Provider Business Mailing Address Fax Number:

570-271-6578

Provider First Line Business Practice Location Address:

106 SOUTH MARKET STREET

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

ELYSBURG

Provider Business Practice Location Address State Name:

PA

Provider Business Practice Location Address Postal Code:

17824-9445

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

570-672-2574

Provider Business Practice Location Address Fax Number:

570-672-0151

Provider Enumeration Date:

10/03/2005

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207Q00000X , with the licence number:  MD027560E , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 13468 . This is a "GEISINGER HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
• Identifier: 017015700 . This is a "FEDERAL BLACK LUNG" identifier . This identifiers is of the category "OTHER".
• Identifier: 0009761510002 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
• Identifier: 080006226 . This is a "MEDICARE-THE TRAVELERS IN" identifier . This identifiers is of the category "OTHER".
• Identifier: 0051527000 . This is a "PERSONAL CHOICE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 02588800 . This is a "CAPITAL BLUE CROSS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: B00000138049 . This is a "PA BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 28171 . This is a "HEALTH AMERICA" identifier . This identifiers is of the category "OTHER".
• Identifier: P006088 . This is a "GATEWAY HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
• Identifier: 000000091225 . This is a "THREE RIVERS HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
• Identifier: 5923619 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
• Identifier: 000991313 . This is a "KEYSTONE HEALTH PLAN CENT" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".