Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 35-083386 | OH |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | MD433764 | PA |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD433764 | PA |
NPI | 1467486712 |
---|---|
Provider Name | Douglas G Armstrong |
First Address | Hershey, PA 17033-0858 |
Second Address | Hershey, PA 17033 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 24/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000204269 | UNISON (01) | OH |
000000503679 | ANTHEM (01) | OH |
1022088990001 | (05) | PA |
2437938 | (05) | OH |
370378 | WELLCARE (01) | OH |
4481925 | AETNA (01) | OH |
738025 | BUCKEYE (01) | OH |
F24650 | (02) |