Basic Information
| Provider Information | |||||||||
| NPI: | 1902824535 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DIPASQUALE | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | JEAN | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1803 MOUNT ROSE AVE | ||||||||
| Address2: | SUITE B3 | ||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174033026 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178511405 | ||||||||
| FaxNumber: | 7178516969 | ||||||||
| Practice Location | |||||||||
| Address1: | 1001 S GEORGE ST | ||||||||
| Address2: | |||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174033676 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178512450 | ||||||||
| FaxNumber: | 7178513469 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/18/2006 | ||||||||
| LastUpdateDate: | 02/28/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | OS5667 | FL | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207PP0204X | OS014567 | PA | N | Allopathic & Osteopathic Physicians | Emergency Medicine | Pediatric Emergency Medicine | 207P00000X | OS014567 | PA | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
ID Information
| ID | Type | State | Issuer | Description | 20085773 | 01 | PA | AMERIHEALTH MERCY-WMG | OTHER | 269337 | 01 | PA | UNISON-YH | OTHER | 1579022 | 01 | PA | GATEWAY-WMG | OTHER | 50084413 | 01 | PA | CAPITAL BLUE CROSS-WMG | OTHER | 80708 | 01 | FL | BLUE CROSS OF FLORIDA | OTHER | 102265080 | 05 | PA | MEDICAID | 2095573 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 372116700 | 05 | FL | MEDICAID |