COURTNEY MARIE DETTINGER (NPI# 1982178711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982178711 |
| Entity Type | Individual |
| Full Name | COURTNEY MARIE DETTINGER |
| Credential | CRNP |
| Practice Address |
2350 Freedom Way Ste 102 York PA 17402 |
| Mailing Address |
2350 Freedom Way Ste 102 York PA 17402-8265 |
| Practice Telephone | 7177419536 |
| Mailing Telephone | 7177419536 |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | SP020357 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1447 York Rd Ste 406, Lutherville Timonium, MD 210936057 | 4108230015 |
| Street Address |
2350 FREEDOM WAY STE 102 |
| City | YORK |
| State | PA |
| Zip Code | 17402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962763219 | Gauthami Reddy Churukanti | Specialist | 2350 Freedom Way Ste 102, York, PA 17402-8265 | 2012-06-04 |
| 1508378498 | Maria Yvette Gibson | Registered Nurse | 2350 Freedom Way Ste 102, York, PA 17402 | 2017-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265053987 | Hope Renewed Counseling Services LLC | Social Worker | 879 Clare Lane, York, PA 17402 | 2020-05-04 |
| 1912462292 | Andventure, Inc. | Home Health | Andventure, Inc., 3415c Concord Rd., York, PA 17402 | 2019-01-31 |
| 1407327992 | Tariro Manamike | Pharmacist | Weis Markets Pharmacy, 2400 E Market Street, York, PA 17402 | 2018-12-10 |
| 1689120925 | Benjamin Stahle | Emergency Medicine | 70 Locust Grove Road, York, PA 17402 | 2016-08-28 |
| 1275905614 | Ultra Dental I, LLC | Dentist | 233 Pauline Drive, York, PA 17402 | 2015-10-26 |
| 1215323878 | Sonya Maria Korda | Dentist | 332 Shasta Dr., York, PA 17402 | 2015-04-10 |
| 1588909691 | Kimberly Sue Marsico | Counselor | 3110 East Market St, York, PA 17402 | 2012-11-29 |
| 1184995797 | Ivan Lewis Butler | General Practice | 204 St. Charles Way, Unit 364e, York, PA 17402 | 2012-01-13 |
| 1801117783 | Active Life Chiropractic | Chiropractor | 1915 E. Market Street, York, PA 17402 | 2010-06-15 |
| 1578881652 | Oss Orthopaedic Hospital, LLC | General Acute Care Hospital | 1861 Powder Mill Rd., York, PA 17402 | 2010-05-13 |
| Find all providers in zip 17402 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619365053 | Michael Joseph Prendergast | Urology | 1165 Turnberry Ln, York, PA 17403-9116 | 2015-01-08 |
| 1003837808 | Central Pennsylvania Urology PC | Urology | 1408 3rd Ave, York, PA 17403-1907 | 2006-07-21 |
| 1548232804 | James Nicholas Stengel | Urology | 2930 Carol Rd, York, PA 17402-4101 | 2006-02-02 |
| 1497735252 | Robert P Myers | Urology | 16 Long Sands Rd, York, ME 03909-1147 | 2006-01-18 |
| 1093235293 | Pinnacle Health Regional Physicians | Urology | 2930 Carol Rd, York, PA 17402-4159 | 2017-06-20 |
| 1174952105 | Lahey Clinic, Inc | Urology | 16 Long Sands Rd, York, ME 03909-1147 | 2013-11-12 |
| 1699088120 | Memorial Enterprises, Inc. | Urology | 1600 6th Ave, Suite 108, York, PA 17403-2626 | 2010-07-26 |
| 1023269073 | Jason S Bonslaver | Urology | 2350 Freedom Way, Suite 102, York, PA 17402-8200 | 2008-10-08 |
| 1376718593 | Urology Associates of York Hospital | Urology | 12 Hospital Dr, Ste A, York, ME 03909-1099 | 2008-04-29 |
| 1285806661 | Urology Associates of York Hospital | Urology | 12 Hospital Dr, Ste A, York, ME 03909-1099 | 2008-03-26 |
| Find all providers in YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.