| Medical Athletic Center Llc | |
|
1785 Loucks Rd York PA 17408-9710 | |
| (717) 767-4151 | |
| (717) 767-2023 |
| Full Name | Medical Athletic Center Llc |
|---|---|
| Speciality | General Practice |
| Location | 1785 Loucks Rd, York, Pennsylvania |
| Authorized Official Name and Position | Kevin Owens (OWNER) |
| Authorized Official Contact | 7177674151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Athletic Center Llc 1785 Loucks Rd York PA 17408-9710 Ph: (717) 767-4151 | Medical Athletic Center Llc 1785 Loucks Rd York PA 17408-9710 Ph: (717) 767-4151 |
| NPI Number | 1699118430 |
|---|---|
| Provider Enumeration Date | 04/11/2013 |
| Last Update Date | 06/06/2013 |
| Medicare PECOS PAC ID | 4284875535 |
|---|---|
| Medicare Enrollment ID | O20130729000630 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699118430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Karen Kunz Cesarano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487866802 PECOS PAC ID: 6901810019 Enrollment ID: I20060127000504 |
| Provider Name | Susan K Arnoult |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528098852 PECOS PAC ID: 7416968953 Enrollment ID: I20060511000232 |
| Provider Name | Jamie A Lilie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225313943 PECOS PAC ID: 5294994372 Enrollment ID: I20120308000590 |
| Provider Name | Collin G Sheehan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1518399260 PECOS PAC ID: 7911216148 Enrollment ID: I20151028002701 |
| Provider Name | Jacqueline Ann Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609326776 PECOS PAC ID: 4082995832 Enrollment ID: I20170110001301 |
| Provider Name | Christopher Ross Jones |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700232758 PECOS PAC ID: 2062702277 Enrollment ID: I20210706001713 |
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