Healthcare Provider Details

I. General information

NPI: 1558561514
Provider Name (Legal Business Name): MATTHEW JOHN ESPENSHADE D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2007
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 SIR THOMAS CT
HARRISBURG PA
17109-4839
US

IV. Provider business mailing address

3399 TRINDLE RD
CAMP HILL PA
17011-4407
US

V. Phone/Fax

Practice location:
  • Phone: 717-652-9555
  • Fax: 717-657-9023
Mailing address:
  • Phone: 717-761-5530
  • Fax: 717-737-7197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberOS014550
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: