RUSSEL H. ETTER MD (NPI# 1346386992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346386992 |
| Entity Type | Organization |
| Organization Name | RUSSEL H. ETTER MD |
| Practice Address |
55 Wyntre Brooke Dr York PA 17403-4536 |
| Practice Telephone | 7177413896 |
| Practice Fax Number | 7177415434 |
| Mailing Telephone | 7177413896 |
| Mailing Fax Number | 7177415434 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2009-11-05 |
| Authorized Official Name | PAMELA S WOLFGANG (OFFICE MANAGER) |
| Authorized Official Telephone | 7177413896 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
MD008050E | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CIGNA | 8110175 | 01 |
| PA | HEALTHAMERICAN PA | 172355 | 01 |
| PA | HIGHMARK BLUE SHIELD | 000018534 | 01 |
| PA | CAPITAL BLUE CROSS | 03206000 | 01 |
| PA | AETNA | 0004626999 | 01 |
| PA | 0643575 | 05 |
| Street Address |
55 WYNTRE BROOKE DR |
| City | YORK |
| State | PA |
| Zip Code | 17403-4536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295774404 | Russel Harry Etter | Family Medicine | 55 Wyntre Brooke Dr, York, PA 17403-4536 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113286 | Maria Frances Defelice | Social Worker | 1902 Woodland Rd, York, PA 17403 | 2020-01-11 |
| 1710524335 | White Deer Run LLC | Community/Behavioral Health | 257 E Market Street, 2nd Floor, York, PA 17403 | 2019-12-02 |
| 1275016917 | Laura Anne Wanenchak | Speech-Language Pathologist | Genesis Rehab Services, 2760 Pine Grove Road, York, PA 17403 | 2018-09-10 |
| 1306355771 | Emily Good | Occupational Therapist | 34 N Albemarle St, York, PA 17403 | 2017-09-28 |
| 1275054983 | Lindsay Sentz | Nurse Anesthetist, Certified Registered | 110 Pine Grove Commons, York, PA 17403 | 2017-07-03 |
| 1649721713 | Omasiel Herenia Comrie-reinert | Nurse Practitioner | 2690 Southfield Dr Ste A, York, PA 17403 | 2016-10-24 |
| 1144675703 | Audrey C Hess | Dietitian, Registered | 35 Monument Rd Suite 202, Wellspan Maternal Fetal Medicine, York, PA 17403 | 2016-05-02 |
| 1346616505 | Joseph A Tolomeo | Psychologist | 807 S. George St, York, PA 17403 | 2015-08-11 |
| 1750798328 | Charles W. Hash Jr. | Surgery | 1400 E. Market St., York, PA 17403 | 2014-07-16 |
| 1124430764 | Kelly Michael Martin | Registered Nurse | 1001 S. Gearge St, York, PA 17403 | 2014-06-02 |
| Find all providers in zip 17403 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1871541318 | Partners In Family Health, PC | Clinic/Center | 1550 Rodney Road, York, PA 17408 | 2006-05-05 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.