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General NPI Number Information
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NPI Number | 1780950337
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Entity Type | Individual
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Provider Name | JASON MICHAEL HOSTETTER M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/28/2012
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 35 MONUMENT RD STE 201
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City | YORK
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State | PA
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Zip | 17403-5074
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Country | US
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Telephone | 717-812-4083
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Fax | 717-812-2244
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Provider Business Mailing Address
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Address Line | 601 MEMORY LN
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City | YORK
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State | PA
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Zip | 17402-2231
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Country | US
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Telephone | 717-815-1405
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | D0081547
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD475665
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | D0081547
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License Number State | MD
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