William L Milroth, M.D.

Individual provider Active NPI General Practice Physician · MC Connellsburg, PA

NPI 1740280304 · NPPES record last updated Apr 9, 2013

Key facts

NPI
1740280304
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Physician 208D00000X
License
MD008223E (PA)
Practice address
318 N 1St St
MC Connellsburg, PA 17233-1006
Phone
(717) 485-3186
Fax
(717) 485-3249
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
Yes

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD008223EPAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
William L Milroth MD General Practice Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD008223E PA Yes

Addresses

Primary practice location

318 N 1St St
MC Connellsburg, PA 17233-1006

Mailing address

PO Box 721
MC Connellsburg, PA 17233-0721
Phone (717) 485-3186

Other identifiers

IdentifierTypeStateIssuer
0006133060002MedicaidPA
02404100OtherPAHIGHMARK BLUECROSS
000016552OtherPAHIGHMARK BLUE SHIELD

Other providers in MC Connellsburg, PA

All providers in MC Connellsburg, PA · General Practice Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.