Active NPI
Donald S. Diefendorf, P.A.-C
- Medical Physician Assistant
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA002841L
- Practice address
- 2700 Quarry Lake Dr Ste 300
Baltimore, MD 21209 - Phone
- (410) 377-8900
- Fax
- (410) 377-0576
- NPI assigned
- Jun 30, 2006
- Last updated
- Dec 5, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA002841L | PA | Primary |
| Medical Physician Assistant | 363AM0700X | C0002134 | MD |
Addresses
Primary practice location
2700 Quarry Lake Dr Ste 300
Baltimore, MD 21209
Mailing address
601 Memory LN
York, PA 17402-2123
Phone (717) 851-1405
Other practice location 1
1227 Baltimore St
Hanover, PA 17331-4406
Phone (717) 812-2055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Phoenix Rehabilitation and Health Services Inc
Practice addresses (Care Compare)
1227 Baltimore St
Hanover, PA 17331-4406
Phone (717) 812-2055
2000 Westinghouse Dr
Cranberry Township, PA 16066-5238
341 N Calvert St
Suite 300
Baltimore, MD 21202-3654
Phone 4109864400109
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0002134 | MD | MD | Medical Physician Assistant |
| MA002841L | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Midatlantic Cardiovascular Associates PA | Past | Accepting new patients | |
| Wellspan Medical Group | Past | Accepting new patients |
Locations
1227 Baltimore St
Hanover, PA 17331
Phone (717) 646-4204
1600 S George St
York, PA 17403
Phone (717) 848-3615
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
Interoperability endpoints
- donald.diefendorf.1@20053.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1356488076
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
dba Wellspan Family Medicine - Stonebridge
- Family Medicine Physician
- New Freedom, PA
- NPI 1629146709
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Cardiovascular Disease Physician
- Baltimore, MD
- NPI 1821084112
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1144282583
-
dba WellSpan Gettysburg Hospital SPU
- Ambulatory Surgical Clinic/Center
- Gettysburg, PA
- NPI 1184882011
Hospital
-
- General Acute Care Hospital
- Gettysburg, PA
- NPI 1265466957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764892800000",
"number": "1437187002",
"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": "174022123",
"telephone_number": "717-851-1405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 QUARRY LAKE DR STE 300",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21209",
"telephone_number": "410-377-8900",
"fax_number": "410-377-0576"
}
],
"practiceLocations": [
{
"address_1": "1227 Baltimore St",
"address_purpose": "LOCATION",
"city": "Hanover",
"state": "PA",
"postal_code": "173314406",
"country_code": "US",
"telephone_number": "717-812-2055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIEFENDORF",
"first_name": "DONALD",
"middle_name": "S.",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA002841L",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MD",
"license": "C0002134",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.