1699703215 NPI number — ROBERT J TERNES M.D.

Table of content: ROBERT J TERNES M.D. (NPI 1699703215)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699703215 NPI number — ROBERT J TERNES M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TERNES
Provider First Name:
ROBERT
Provider Middle Name:
J
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

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:
1699703215
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1051 E MAIN ST
Provider Second Line Business Mailing Address:
SUITE 2
Provider Business Mailing Address City Name:
WAYNESBORO
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17268-2318
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-762-3050
Provider Business Mailing Address Fax Number:
717-762-8254

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1051 E MAIN ST
Provider Second Line Business Practice Location Address:
SUITE 2
Provider Business Practice Location Address City Name:
WAYNESBORO
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17268-2318
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-762-3050
Provider Business Practice Location Address Fax Number:
717-762-8254
Provider Enumeration Date:
06/30/2006

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: 208M00000X , with the licence number:  MD021498E , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207R00000X , with the licence number: MD021498E , 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: 120420407 . This is a "DEPT OF LABOR" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 6023277 . This is a "AETNA HMO (PGI)" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0643824 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 25-1716306 . This is a "FIRST HEALTH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1560906 . This is a "GATEWAY (HFC)" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 200216 . This is a "UNISON (HFC)" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 25-1716306 . This is a "HEALTHNET/TRICARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 25-1716306 . This is a "MULTIPLAN/PHCS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 5924028 . This is a "AETNA NON-HMO (HFC)" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 237298 . This is a "MAMSI" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 76041 . This is a "HIGHMARK BLUESHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1487321 . This is a "AETNA HMO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 25-1716306 . This is a "INTERGROUP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 867633 . This is a "MEDICARE GROUP #" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 930076041 . This is a "MEDICARE RAILROAD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 25-1716306 . This is a "DEVON" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 50060240 . This is a "CAPITAL BLUECROSS (HFC)" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 50091631 . This is a "CAPITAL BLUECROSS (PGI)" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: MD021498E . This is a "LICENSE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0006438240002 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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