Healthcare Provider Details

I. General information

NPI: 1750356085
Provider Name (Legal Business Name): YORK ADAMS PAIN SPECIALISTS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 02/14/2024
Certification Date: 02/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 FAME AVE SUITE 120
HANOVER PA
17331-1587
US

IV. Provider business mailing address

250 FAME AVE SUITE 120
HANOVER PA
17331-1587
US

V. Phone/Fax

Practice location:
  • Phone: 717-637-0943
  • Fax: 717-633-0257
Mailing address:
  • Phone: 717-637-0943
  • Fax: 717-633-7829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number17561501
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TERRENCE M. CALDER
Title or Position: MEDICAL DIRECTOR/OWNER
Credential: M.D.
Phone: 717-637-0943