Basic Information
Provider Information | |||||||||
NPI: | 1982632899 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | FARKAS | ||||||||
FirstName: | ANDREW | ||||||||
MiddleName: | A | ||||||||
NamePrefix: | DR. | ||||||||
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: | 7178511405 | ||||||||
FaxNumber: | 7178516969 | ||||||||
Practice Location | |||||||||
Address1: | 820 CHAMBERSBURG RD | ||||||||
Address2: |   | ||||||||
City: | GETTYSBURG | ||||||||
State: | PA | ||||||||
PostalCode: | 173253310 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 7173374410 | ||||||||
FaxNumber: | 7173370267 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 06/29/2006 | ||||||||
LastUpdateDate: | 08/12/2019 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | M | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | DO064288 | MD | N |   | Allopathic & Osteopathic Physicians | Family Medicine |   | 207Q00000X | MD027098E | PA | Y |   | Allopathic & Osteopathic Physicians | Family Medicine |   |
ID Information
ID | Type | State | Issuer | Description | 1542763 | 01 | PA | GATEWAY-GH | OTHER | 30106 | 01 | PA | GEISINGER | OTHER | 645185 | 01 | MD | CAREFIRST MD BCBS | OTHER | 000960760 | 05 | PA |   | MEDICAID | 50045273 | 01 | PA | CAPITAL BLUE CROSS-WMG | OTHER | 30147719 | 01 | PA | AMERIHEALTH CARITAS-WRC | OTHER | 010515500 | 05 | MD |   | MEDICAID | 164436 | 01 | PA | UNISON-WMG | OTHER | 4397061 | 01 | PA | AETNA | OTHER | 131353 | 01 | PA | JOHNS HOPKINS | OTHER | 20047593 | 01 | PA | AMERIHEALTH MERCY-GH | OTHER | 50067131 | 01 | PA | CAPITAL BLUE CROSS-GH | OTHER | 094399 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 20043930 | 01 | PA | AMERIHEALTH MERCY-WMG | OTHER | 2136760 | 01 | PA | MAMSI-WMG | OTHER | P000395 | 01 | PA | GATEWAY-WMG | OTHER |