Healthcare Provider Details

I. General information

NPI: 1144611799
Provider Name (Legal Business Name): PAIGE WELCH PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PAIGE GIVENS PA

II. Dates (important events)

Enumeration Date: 02/17/2015
Last Update Date: 07/29/2024
Certification Date: 05/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52 WATER ST
THURMONT MD
21788-1912
US

IV. Provider business mailing address

3421 CONCORD RD
YORK PA
17402-9001
US

V. Phone/Fax

Practice location:
  • Phone: 301-271-3535
  • Fax: 301-271-2650
Mailing address:
  • Phone: 301-271-3535
  • Fax: 301-271-2650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA064526
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC005682
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: