NPIMap

Frank L D'Amelio, M.D.

Individual provider Active NPI Diagnostic Radiology Physician · MC Connellsburg, PA

NPI 1295723930 · NPPES record last updated Feb 20, 2013

Key facts

NPI
1295723930
Entity type
Individual (NPI type 1)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
License
MD055929L (PA)
Practice address
214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559
Phone
(717) 485-6847
Fax
(717) 485-6848
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Team Physicians, PC Diagnostic Radiology Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X MD055929L PA
Diagnostic Radiology Physician 2085R0202X MD055929L PA Yes

Addresses

Primary practice location

214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559

Mailing address

322 E. Antietam Street
Suite 106
Hagerstown, MD 21740-5736
Phone (240) 527-2000

Other identifiers

IdentifierTypeStateIssuer
0015220370002MedicaidPA
P00736013OtherMEDICARE RAILROAD

Other providers in MC Connellsburg, PA

All providers in MC Connellsburg, PA · Diagnostic Radiology Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.