Provider Demographics
NPI:1215939434
Name:HARVEY, BENSON JR (MD)
Entity type:Individual
Prefix:
First Name:BENSON
Middle Name:
Last Name:HARVEY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-6110
Mailing Address - Fax:717-851-1999
Practice Address - Street 1:25 MONUMENT RD
Practice Address - Street 2:SUITE 120
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5049
Practice Address - Country:US
Practice Address - Phone:717-851-6110
Practice Address - Fax:717-851-1999
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD034196E208600000X, 2086S0120X, 2086S0129X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1521814OtherGATEWAY
PA30105308OtherAMERIHEALTH MERCY-WMG
PA094548OtherHIGHMARK BLUE SHIELD
MD043165600Medicaid
PA183586OtherRR MEDICARE/PALMETTO GBA
PA001021435Medicaid
PA02526500OtherCAIC
PA183586OtherHIGHMARK BLUE SHIELD
PA756030OtherUPMC
MD974212OtherCAREFIRST MD BCBS
PA094548FLTMedicare PIN
MD974212OtherCAREFIRST MD BCBS
PA30105308OtherAMERIHEALTH MERCY-WMG
PAA17661Medicare UPIN