Thomas Mitrev

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MT226956 Issued in PA

Practice address

13515 Wolfe Rd Ste D
New Freedom, PA 17349-9346

Phone

(717) 812-2540

Fax

(717) 715-1310

NPI assigned

Jun 9, 2022

Last updated

Sep 9, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1689303182",
    "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": "174022231",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13515 WOLFE RD STE D",
            "city": "NEW FREEDOM",
            "state": "PA",
            "postal_code": "173499346",
            "telephone_number": "717-812-2540",
            "fax_number": "717-715-1310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4222 Lincoln Hwy",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174068083",
            "country_code": "US",
            "telephone_number": "717-812-7800",
            "fax_number": "717-812-7811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2050 S Queen St Ste 200",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174034829",
            "country_code": "US",
            "telephone_number": "717-812-2316",
            "fax_number": "717-848-5540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1693 S Queen St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174034609",
            "country_code": "US",
            "telephone_number": "717-845-1621",
            "fax_number": "717-854-6939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1227 Baltimore St",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173314406",
            "country_code": "US",
            "telephone_number": "717-633-1433",
            "fax_number": "717-633-1838",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3992 Carlisle Rd",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "PA",
            "postal_code": "173153506",
            "country_code": "US",
            "telephone_number": "717-812-7260",
            "fax_number": "717-292-2879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITREV",
        "first_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MT226956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Ellen Libertini
• Nicholas Adam Lumsden, M.D.
• Ashleigh Martinez, MD
• Jessica Mendez, CRNP
• Marilyn A. Miele, RPT
• Oakworks Leasing Inc
• Leslie E Odell, OD
• Mary Collette Parks, LBS, LPC
• Douglas H Prince, MD
• Paul J Prosser III, DDS

• Obstetrics & Gynecology Physician in New Freedom, PA
• Providers in New Freedom, PA by specialty
• Obstetrics & Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.