Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | SC003890L | PA |
NPI | 1316098221 |
---|---|
Provider Name | William Mark Brown |
First Address | Scranton, PA 18508-1250 |
Second Address | Scranton, PA 18508-1250 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2007 |
Last Update Date | 05/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000086612 | (05) | PA |
17105 6484 | GEISINGER GOLD (01) | PA |
17105 6484 | GEISINGER HEALTH (01) | PA |
2144133 | AETNA (01) | PA |
2144133 | US HEALTHCARE (01) | PA |
247931 | HEALTHNET (01) | PA |
247931 | HEALTNET (01) | |
2Y7931 | HAMER (01) | PA |
2Y7931 | HEAL (01) | PA |
5521062 | AETNA PPO (01) | PA |
780195 | ACCESS (01) | PA |
780195 | BLUE SHIELD PERSONAL CARE (01) | PA |
780195 | FEDERAL BLUE SHIELD (01) | PA |
780195 | FIRST PRIORITY HEALTH (01) | PA |
780195 | FIRST PRIORITY LIFE (01) | PA |
780195 | FREEDOM BLUE (01) | PA |
780195 | PENNSYLVANIA BLUE SHIELD (01) | PA |
86612 | MEDPLUS (01) | PA |
86612 | UNISON (01) | PA |
P00089348 | RAILROAD MEDICARE (01) | PA |
U58555 | (02) | |
U58555 | STERLING (01) | PA |