Active NPI
William Carl Konchar, MD
- Family Medicine Physician
- York, PA
National Provider Identifier
1265450373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD021058E
- Practice address
- 1010 Plymouth Rd
York, PA 17402-3864 - Phone
- (717) 851-1800
- Fax
- (717) 851-1810
- NPI assigned
- Jul 17, 2006
- Last updated
- Feb 22, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD021058E | PA | Primary |
Addresses
Primary practice location
1010 Plymouth Rd
York, PA 17402-3864
Mailing address
1803 Mount Rose Ave
Suite B3
York, PA 17403-3051
Phone (717) 851-1405
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01059701 | Other | PA | CAPITAL BC-WMG EYFM |
| 152193 | Other | PA | UNISON-WMG WHEATLYN |
| 01059703 | Other | PA | CAPITAL BC-WMG WHEATLYN |
| 071443 | Other | PA | HIGHMARK BLUE SHIELD |
| 20016411 | Other | PA | AH MERCY-WMG WHEATLYN |
| 543948 | Other | MD | CAREFIRST MD BCBS |
| P002797 | Other | PA | GATEWAY-WMG |
| 80958 | Other | PA | UNISON-WMG EYFM |
| 000692462 | Medicaid | PA | |
| 243586 | Other | PA | MAMSI-WMG |
| 30279 | Other | PA | JOHNS HOPKINS |
| 5371268 | Other | PA | AETNA |
| 015 | Other | PA | GEISINGER |
| 1142359 | Other | PA | AH MERCY-WMG EYFM |
| 50083205 | Other | PA | CAPITAL BLUE CROSS-WMG VGFM |
| 261038 | Other | PA | UNISON-WMG VGFM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD021058E | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329868800000",
"number": "1265450373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1803 MOUNT ROSE AVE",
"address_2": "SUITE B3",
"city": "YORK",
"state": "PA",
"postal_code": "174033051",
"telephone_number": "717-851-1405",
"fax_number": "717-851-1810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 PLYMOUTH RD",
"city": "YORK",
"state": "PA",
"postal_code": "174023864",
"telephone_number": "717-851-1800",
"fax_number": "717-851-1810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONCHAR",
"first_name": "WILLIAM",
"middle_name": "CARL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2012-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD021058E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BC-WMG EYFM",
"identifier": "01059701",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON-WMG WHEATLYN",
"identifier": "152193",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BC-WMG WHEATLYN",
"identifier": "01059703",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "071443",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AH MERCY-WMG WHEATLYN",
"identifier": "20016411",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD BCBS",
"identifier": "543948",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY-WMG",
"identifier": "P002797",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON-WMG EYFM",
"identifier": "80958",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000692462",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI-WMG",
"identifier": "243586",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHNS HOPKINS",
"identifier": "30279",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5371268",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER",
"identifier": "015",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AH MERCY-WMG EYFM",
"identifier": "1142359",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS-WMG VGFM",
"identifier": "50083205",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON-WMG VGFM",
"identifier": "261038",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.