Basic Information
| Provider Information | |||||||||
| NPI: | 1992852263 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DEMUTH | ||||||||
| FirstName: | FRANCIS | ||||||||
| MiddleName: | CHARLES | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.O. | ||||||||
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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 STREET | ||||||||
| Address2: | |||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 17405 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178512450 | ||||||||
| FaxNumber: | 7178513469 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/05/2007 | ||||||||
| LastUpdateDate: | 12/02/2008 | ||||||||
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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 | 207P00000X | H0062850 | MD | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | OS014187 | PA | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
ID Information
| ID | Type | State | Issuer | Description | 1995610 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 20067569 | 01 | PA | AMERIHEALTH MERCY YH | OTHER | 9648078 | 01 | PA | AETNA | OTHER | 212038 | 01 | PA | JOHNS HOPKINS | OTHER | 102000586 | 05 | PA | MEDICAID | 113880 | 01 | PA | GEISINGER HEALTH PLAN | OTHER | 1568280 | 01 | PA | GATEWAY-WMG | OTHER | 50072246 | 01 | PA | CAPITAL BLUE CROSS-YH | OTHER | 233518 | 01 | PA | UNISON-WMG | OTHER |