Individual provider Active NPI

Alexander Petron, MD

  • Pediatrics Physician
  • York, PA
National Provider Identifier
1184697112
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MB06696600 Issued in NJ
Practice address
2339 S George St
York, PA 17403-5009
Phone
(717) 812-3040
Fax
(717) 741-3028
NPI assigned
Feb 9, 2006
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MB06696600 NJ Primary

Addresses

Primary practice location

2339 S George St
York, PA 17403-5009

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

2050 S Queen St
York, PA 17403-4829
Phone (717) 812-4240

Other practice location 2

15 Constitution Ave
Shrewsbury, PA 17361-1709
Phone (717) 235-6848

Other practice location 3

4020 Carlisle Rd
Dover, PA 17315-3508
Phone (717) 812-4240

Other practice location 4

2003 E Market St
York, PA 17402-2841
Phone (717) 812-4242

Other practice location 5

3065 Windsor Rd
Red Lion, PA 17356-8533
Phone (717) 812-3040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220929003773 PA Practitioner - Pediatric Medicine 6305857624 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MB06696600NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Sep 15, 2022 Accepting new patients
Wellspan Medical Group CurrentSince Sep 15, 2022 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Specialty Care of Practice Associates,PA Past Accepting new patients
Practice Associates,Inc Pediatrics Past Accepting new patients

Locations

1600 S George St
York, PA 17403
Phone (717) 848-3615

2339 S George St
York, PA 17403
Phone (717) 812-3040

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

Interoperability endpoints

  • Direct secure messaging: apetron295215@wellspan.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1184697112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174035009",
            "telephone_number": "717-812-3040",
            "fax_number": "717-741-3028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 S Queen St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174034829",
            "country_code": "US",
            "telephone_number": "717-812-4240",
            "fax_number": "717-848-5520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Constitution Ave",
            "address_purpose": "LOCATION",
            "city": "Shrewsbury",
            "state": "PA",
            "postal_code": "173611709",
            "country_code": "US",
            "telephone_number": "717-235-6848",
            "fax_number": "717-759-6770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4020 Carlisle Rd",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "PA",
            "postal_code": "173153508",
            "country_code": "US",
            "telephone_number": "717-812-4240",
            "fax_number": "717-851-6460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2003 E Market St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174022841",
            "country_code": "US",
            "telephone_number": "717-812-4242",
            "fax_number": "717-755-7569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3065 Windsor Rd",
            "address_purpose": "LOCATION",
            "city": "Red Lion",
            "state": "PA",
            "postal_code": "173568533",
            "country_code": "US",
            "telephone_number": "717-812-3040",
            "fax_number": "717-741-3028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETRON",
        "first_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB06696600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.