MEDICARE: DR. MARY O KEPERLING DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	OS005381L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	30262	OTHER	PA	JOHNS HOPKINS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	4296861	OTHER	PA	AETNA
5	01142790	OTHER	PA	AMERIHEALTH MERCY-WMG
6	39387	OTHER	PA	GEISINGER
7	433256	OTHER	PA	MAMSI-WMG
8	1519821	OTHER	PA	GATEWAY-WMG
9	199209	OTHER	PA	HIGHMARK BLUE SHIELD
10	80830	OTHER	PA	UNISON-WMG
11	01721802	OTHER	PA	CAPITAL BLUE CROSS-WMG
12	525992	OTHER	MD	CAREFIRST MD BCBS

General Provider Information

NPI Number	:	1134151590
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY O KEPERLING DO

Provider Business Mailing Address
First Line	:	3421 CONCORD RD
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-9001
Country	:	US
Telephone Number	:	717-812-2540
Fax Number	:	717-715-1310

Provider Business Practice Location Address
First Line	:	13515 WOLFE RD
Second Line	:	SUITE D
City	:	NEW FREEDOM
State	:	PA
Zip	:	17349-9346
Country	:	US
Telephone Number	:	717-812-2540
Fax Number	:	717-715-1310

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	12/30/2021

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