Basic Information
Provider Information
NPI: 1679560858
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BOBEK
FirstName: FRANCIS
MiddleName: B
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 100 N ACADEMY AVE
Address2:  
City: DANVILLE
State: PA
PostalCode: 178224903
CountryCode: US
TelephoneNumber: 5702716144
FaxNumber: 5702716578
Practice Location
Address1: 106 SOUTH MARKET STREET
Address2:  
City: ELYSBURG
State: PA
PostalCode: 178249445
CountryCode: US
TelephoneNumber: 5706722574
FaxNumber: 5706720151
Other Information
ProviderEnumerationDate: 10/03/2005
LastUpdateDate: 08/06/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/06/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XMD027560EPAY Allopathic & Osteopathic PhysiciansFamily Medicine 

ID Information
IDTypeStateIssuerDescription
1346801 GEISINGER HEALTH PLANOTHER
01701570001 FEDERAL BLACK LUNGOTHER
000976151000205PA MEDICAID
08000622601 MEDICARE-THE TRAVELERS INOTHER
005152700001PAPERSONAL CHOICEOTHER
0258880001PACAPITAL BLUE CROSSOTHER
B0000013804901PAPA BLUE SHIELDOTHER
2817101 HEALTH AMERICAOTHER
P00608801 GATEWAY HEALTH PLANOTHER
00000009122501 THREE RIVERS HEALTH PLANOTHER
592361901 AETNAOTHER
00099131301PAKEYSTONE HEALTH PLAN CENTOTHER


Home