MEDICARE: DR. MATTHEW T EBLING MD

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	207P00000X	Emergency Medicine Physician	273809	NY
2	207QA0000X	Adolescent Medicine (Family Medicine) Physician	MD427961	PA
3	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	35.136497	OH
4	208M00000X	Hospitalist Physician	MD427961	PA
5	207P00000X	Emergency Medicine Physician	MD427961	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	867633	OTHER	PA	GROUP MEDICARE #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	11663202	OTHER	PA	CAQH
3	MD427961	OTHER	PA	MEDICAL LICENSE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770534075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW T EBLING MD

Provider Business Mailing Address
First Line	:	409 S 2ND ST STE 2F
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17104-1612
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 COLLEGE AVE
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17603
Country	:	US
Telephone Number	:	717-988-0000
Fax Number	:	717-782-5716

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

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	05/19/2026

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Directions to “ DR. MATTHEW T EBLING MD” Practice Location

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