Healthcare Provider Details

I. General information

NPI: 1336217165
Provider Name (Legal Business Name): JOSEPH R MCPHEE IV M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 06/09/2022
Certification Date: 06/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 HARRISBURG PIKE SUITE 300
LANCASTER PA
17601-2644
US

IV. Provider business mailing address

2150 HARRISBURG PIKE SUITE 300
LANCASTER PA
17601-2644
US

V. Phone/Fax

Practice location:
  • Phone: 717-544-2935
  • Fax: 717-544-3935
Mailing address:
  • Phone: 717-544-2935
  • Fax: 717-544-3935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberMD441453
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License NumberMD441453
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: