Basic Information
| Provider Information | |||||||||
| NPI: | 1336179431 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RHOADS | ||||||||
| FirstName: | JONATHAN | ||||||||
| MiddleName: | EVANS | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1803 MOUNT ROSE AVE | ||||||||
| Address2: | SUITE B3S | ||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174033026 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178511405 | ||||||||
| FaxNumber: | 7178516969 | ||||||||
| Practice Location | |||||||||
| Address1: | 25 MONUMENT RD | ||||||||
| Address2: | SUITE 120 | ||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174035060 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178516110 | ||||||||
| FaxNumber: | 7178511999 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/04/2006 | ||||||||
| LastUpdateDate: | 11/30/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | MD015227E | PA | Y | Allopathic & Osteopathic Physicians | Surgery | 208G00000X | MD015227E | PA | N | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
ID Information
| ID | Type | State | Issuer | Description | 145367 | 01 | PA | UNISON-WMG | OTHER | 20025463 | 01 | PA | AMERIHEALTH MERCY-WMG | OTHER | 5446120 | 01 | PA | AETNA | OTHER | 621503 | 01 | MD | CAREFIRST MD BCBS | OTHER | 1526900 | 01 | PA | GATEWAY-WMG | OTHER | 175373 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 106116 | 01 | PA | JOHNS HOPKINS | OTHER | 2117954 | 01 | PA | MAMSI-WMG | OTHER | 50020375 | 01 | PA | CAPITAL BLUE CROSS-WMG | OTHER | 0068388000 | 01 | PA | AMERIHEALTH 65 PA | OTHER | 36421 | 01 | PA | GEISINGER | OTHER |