Mark A Illfelder, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS003803L Issued in PA

Practice address

1777 5TH Ave
York, PA 17403-2632

Phone

(717) 843-8051

Fax

(717) 846-0721

NPI assigned

Feb 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568438869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 N STRATHCONA DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033830",
            "telephone_number": "717-848-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 5TH AVE",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174032632",
            "telephone_number": "717-843-8051",
            "fax_number": "717-846-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILLFELDER",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS003803L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000759688",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jae Hee Hwang VII, DDS
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• Tara Lynn Ilie, CRNP
• Elizabeth Marie Imboden, MD
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• Infinity Dental Care PLLC
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• John Victor Ingari, M.D.

• Internal Medicine Physician in York, PA
• Providers in York, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.