Harris Baderak, D.O.

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

OS-003842-L Issued in PA

Practice address

169 Martin Ave
Ephrata, PA 17522-1002

Phone

(717) 738-6420

NPI assigned

Jul 19, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ephrata Community Hospital

  dba WellSpan Ephrata Community Hospital

  • Certified Registered Nurse Anesthetist
  • Ephrata, PA
  • NPI 1063559912
  NPD
• Emergency Physician Specialists Inc

  • Emergency Medicine Physician
  • Davenport, FL
  • NPI 1912973850
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1114946217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 FAIRVIEW AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221319",
            "telephone_number": "717-733-3515",
            "fax_number": "717-738-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MARTIN AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221002",
            "telephone_number": "717-738-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADERAK",
        "first_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS-003842-L",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "PA",
            "license": "OS-003842-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ars of Ephrata LLC
• Ars of Ephrata LLC
• Allen Arslanian, CRNA
• Paul G Avadanian, DO
• Baca Pediatrics
• Kayla-Ann Bain, DPT
• Susan Baldwin, CRNP
• Jennifer Balliet
• Leah Elaine Balman, MT
• Emmanuel Angelo Baltatzidis, PHARMD

• Emergency Medical Services (Emergency Medicine) Physician in Ephrata, PA
• Providers in Ephrata, PA by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.