Basic Information
| Provider Information | |||||||||
| NPI: | 1912946294 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ROSENBACH | ||||||||
| FirstName: | STEFAN | ||||||||
| MiddleName: | P | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3421 CONCORD RD | ||||||||
| Address2: | |||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174029001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178511405 | ||||||||
| FaxNumber: | 7178516969 | ||||||||
| Practice Location | |||||||||
| Address1: | 147 GETTYS STREET | ||||||||
| Address2: | |||||||||
| City: | GETTYSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 17325 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7173374216 | ||||||||
| FaxNumber: | 7173374249 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/05/2006 | ||||||||
| LastUpdateDate: | 01/28/2019 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
| NPIDeactivationDate: | 07/17/2007 | ||||||||
| NPIReactivationDate: | 08/03/2007 | ||||||||
| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | MD419258 | PA | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
ID Information
| ID | Type | State | Issuer | Description | 50067136 | 01 | PA | CAPITAL BLUE CROSS-GH | OTHER | 2021418000 | 01 | PA | AMERIHEALTH 65 PA-GH | OTHER | 20041772 | 01 | PA | AMERIHEALTH MERCY-GH | OTHER | 57422 | 01 | PA | GEISINGER-GH | OTHER | 001867330 | 05 | PA | MEDICAID | 1328717 | 01 | PA | HIGHMARK BLUE SHIELD-GH | OTHER | 1529761 | 01 | PA | GATEWAY-GH | OTHER | 139792 | 01 | PA | UNISON-GH | OTHER |