Provider Demographics
NPI:1902970544
Name:ONEY, ESTHER COMPHER (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:COMPHER
Last Name:ONEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:ESTHER
Other - Middle Name:MARIE
Other - Last Name:COMPHER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:100 S CENTER ST
Mailing Address - Street 2:CATOCTIN MEDICAL GROUP
Mailing Address - City:THURMONT
Mailing Address - State:MD
Mailing Address - Zip Code:21788
Mailing Address - Country:US
Mailing Address - Phone:301-271-4333
Mailing Address - Fax:301-271-7486
Practice Address - Street 1:100 S CENTER ST
Practice Address - Street 2:CATOCTIN MEDICAL GROUP
Practice Address - City:THURMONT
Practice Address - State:MD
Practice Address - Zip Code:21788
Practice Address - Country:US
Practice Address - Phone:301-271-4333
Practice Address - Fax:301-271-7486
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA001495L363A00000X
MDC0004181363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
4344521OtherAETNA
PA0010452680002Medicaid
425326OtherBS
01805101OtherCBS
PA0010452680002Medicaid