Provider Demographics
NPI:1053341156
Name:SALTER, RIDGLEY PAUL (MD)
Entity type:Individual
Prefix:DR
First Name:RIDGLEY
Middle Name:PAUL
Last Name:SALTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 MEMORY LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2231
Mailing Address - Country:US
Mailing Address - Phone:717-812-7300
Mailing Address - Fax:717-845-4625
Practice Address - Street 1:2775 N GEORGE ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-1020
Practice Address - Country:US
Practice Address - Phone:717-812-7300
Practice Address - Fax:717-845-4625
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD067760L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1142383OtherAMERIHEALTH MERCY-WMG
PA92570OtherUNISON-WMG
PA0332211000OtherAMERIHEALTH 65 PA
PA30153614OtherAMERIHEALTH CARITAS PA - WMG
PA001748221Medicaid
PA269501OtherMAMSI-WMG
PA529052OtherHIGHMARK BLUE SHIELD
PA100479OtherGEISINGER
PAP002882OtherGATEWAY-WMG
PA7290457OtherAETNA
PA01070303OtherCAPITAL BLUE CROSS-WMG
PA038065OtherJOHNS HOPKINS
PA779866OtherCAREFIRST MD BCBS
PA0332211000OtherAMERIHEALTH 65 PA
PA779866OtherCAREFIRST MD BCBS
PA001748221Medicaid
PA460002352Medicare PIN