Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD034196E | PA |
Y | 208600000X | Surgeon | MD034196E | PA |
N | 2086S0120X | Pediatric Surgery | MD034196E | PA |
N | 2086S0129X | Vascular Surgeon | MD034196E | PA |
N | 208C00000X | Colorectal Surgeon | MD034196E | PA |
NPI | 1215939434 |
---|---|
Provider Name | Benson Harvey JR. |
First Address | York, PA 17402-9001 |
Second Address | York, PA 17403-5049 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2005 |
Last Update Date | 14/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001021435 | (05) | PA |
02526500 | CAIC (01) | PA |
043165600 | (05) | MD |
094548 | HIGHMARK BLUE SHIELD (01) | PA |
1521814 | GATEWAY (01) | PA |
183586 | HIGHMARK BLUE SHIELD (01) | PA |
183586 | RR MEDICARE/PALMETTO GBA (01) | PA |
30105308 | AMERIHEALTH MERCY-WMG (01) | PA |
756030 | UPMC (01) | PA |
974212 | CAREFIRST MD BCBS (01) | MD |
A17661 | (02) | PA |