Provider Demographics
NPI:1386621431
Name:MEISENHELDER, DAN A (DPM)
Entity type:Individual
Prefix:DR
First Name:DAN
Middle Name:A
Last Name:MEISENHELDER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1203 S QUEEN ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3922
Mailing Address - Country:US
Mailing Address - Phone:717-757-3537
Mailing Address - Fax:717-718-8665
Practice Address - Street 1:2003 E MARKET ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-2841
Practice Address - Country:US
Practice Address - Phone:717-757-3537
Practice Address - Fax:717-757-6296
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-29
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC001685L213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAT29749Medicare UPIN
PA157852HDXMedicare ID - Type Unspecified