Healthcare Provider Details
I. General information
NPI: 1487634341
Provider Name (Legal Business Name): ANTHONY J SKIPTUNAS III DO
Entity Type: Individual
Gender: Male
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 01/18/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
325 S BELMONT ST
YORK PA
17403-2608
US
IV. Provider business mailing address
PO BOX 3057
YORK PA
17402
US
V. Phone/Fax
- Phone: 717-843-0736
- Fax: 717-852-0561
- Phone: 717-843-0736
- Fax: 717-852-0561
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | 05005385L |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0204X |
| Taxonomy | Vascular & Interventional Radiology Physician |
| License Number | 05005385L |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: