Active NPI
John H. Dufendach, M.D.
- Emergency Medicine Physician
- Gettysburg, PA
National Provider Identifier
1689618399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD025315E
- Practice address
- 147 Gettys St
Gettysburg, PA 17325-2534 - Phone
- (717) 337-4216
- Fax
- (717) 337-4249
- NPI assigned
- Jun 15, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD025315E | PA | Primary |
| Family Medicine Physician | 207Q00000X | MD025315E | PA |
Addresses
Primary practice location
147 Gettys St
Gettysburg, PA 17325-2534
Mailing address
1803 Mount Rose Ave
Ste B3
York, PA 17403-3026
Phone (717) 851-1405
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20016175 | Other | PA | AMERIHEALTH MERCY GH |
| 181476 | Other | PA | HIGHMARK GH |
| 1521176 | Other | PA | GATEWAY-GH |
| 50067127 | Other | PA | CAPITAL BLUE CROSS GH |
| 114445 | Other | PA | UNISON GH |
| 0010074000 | Other | PA | AMERIHEALTH 65 PA GH |
| 24299 | Other | PA | GEISINGER-GH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193702400000",
"number": "1689618399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1803 MOUNT ROSE AVE",
"address_2": "STE B3",
"city": "YORK",
"state": "PA",
"postal_code": "174033026",
"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": "147 GETTYS ST",
"city": "GETTYSBURG",
"state": "PA",
"postal_code": "173252534",
"telephone_number": "717-337-4216",
"fax_number": "717-337-4249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFENDACH",
"first_name": "JOHN",
"middle_name": "H.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2007-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD025315E",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD025315E",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY GH",
"identifier": "20016175",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK GH",
"identifier": "181476",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY-GH",
"identifier": "1521176",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS GH",
"identifier": "50067127",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON GH",
"identifier": "114445",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH 65 PA GH",
"identifier": "0010074000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER-GH",
"identifier": "24299",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gettysburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.