Basic Information
Provider Information
NPI: 1891716122
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FILIP
FirstName: PATRICK
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3421 CONCORD RD
Address2:  
City: YORK
State: PA
PostalCode: 174029001
CountryCode: US
TelephoneNumber: 7178127687
FaxNumber:  
Practice Location
Address1: 1001 S GEORGE ST
Address2:  
City: YORK
State: PA
PostalCode: 174033676
CountryCode: US
TelephoneNumber: 7178127687
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/21/2006
LastUpdateDate: 05/19/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/19/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XMD00046490WAN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000X431970PAN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000XMD431970PAY Allopathic & Osteopathic PhysiciansAnesthesiology 

ID Information
IDTypeStateIssuerDescription
003951501WAL&IOTHER
2183FI01WABLUE SHIELDOTHER
US776384401WAAETNAOTHER


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