Regina Abhulimen, M.D.
Individual provider Active NPI Pediatrics Physician · York, PA
NPI 1336147396 · NPPES record last updated Mar 20, 2017
Key facts
- NPI
- 1336147396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD071566L (PA)
- Practice address
- 2003 E Market St
York, PA 17402-2841 - Phone
- (717) 812-4242
- Fax
- (717) 755-7569
- NPI assigned
- Jul 13, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170411000680 | PA | Practitioner - Pediatric Medicine | 7719918507 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0007659 | DE | MD | Pediatrics Physician |
| MD071566L | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current |
Accepting new patients | |
| Wellspan Medical Group | Current |
Accepting new patients | |
| Total Care Physicians, P.a. | Past | Accepting new patients |
Locations
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
2050 S Queen St
#100
York, PA 17403
Phone (717) 812-4240
2339 S George St
York, PA 17403
Phone (717) 812-3040
1600 S George St
York, PA 17403
Phone (717) 848-3615
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
2003 E Market St
York, PA 17402
Phone (717) 812-4242
Interoperability endpoints
- rabhulimenmd@jkp.opdirect.net
- rabhulimen38915@wellspan.direct-ci.com
- https://api.platform.athenahealth.com/28224/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C1-0007659 | DE | |
| Pediatrics Physician | 208000000X | MD071566L | PA | Yes |
Addresses
Primary practice location
2003 E Market St
York, PA 17402-2841
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 812-4242
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000037848 | Medicaid | DE |
Other names
- Regina Clark
Other providers in York, PA
- Mohamed Anwar Abdus Samad
- Mohammed Asfar Abdus Samad
- Elias Woldetsadik Abebe
- Tyler Edward Abel
- Lori Herman Abels
- Abibank Home Care Services, Inc
- Ability Prosthetics & Orthotics, LLC
- Ability Prosthetics & Orthotics, LLC
- Able-Services, Inc.
- Betty Anne Abrahamsen
All providers in York, PA · Pediatrics Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.