Healthcare Provider Details
I. General information
NPI: 1275826059
Provider Name (Legal Business Name): SCOTT P AUCHTER PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/26/2011
Last Update Date: 12/07/2023
Certification Date: 12/07/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
170 N POINTE BLVD
LANCASTER PA
17601-4132
US
IV. Provider business mailing address
170 N POINTE BLVD
LANCASTER PA
17601-4132
US
V. Phone/Fax
- Phone: 717-299-4871
- Fax: 717-391-2494
- Phone: 717-299-4871
- Fax: 717-391-2494
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | MA054883 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363AM0700X |
| Taxonomy | Medical Physician Assistant |
| License Number | |
| License Number State | NULL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363AS0400X |
| Taxonomy | Surgical Physician Assistant |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: