Individual
DR. LYLE AMOS SIDDOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 MONUMENT RD, SUITE 1100, YORK, PA 17403-5024
(717) 851-2441
(717) 851-3521
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-2441
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD044979E
PA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MD044979E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001190133
—
PA
01
—
01939210
CAPITAL BLUE CROSS
PA
01
—
060013261
RAILROAD MEDICARE
PA
01
—
086694
UNISON
PA
01
—
1521565
GATEWAY
PA
01
—
20006623
AMERIHEALTH MERCY
PA
01
—
354482
CAREFIRST MD BLUE SHIELD
PA
01
—
577456
HIGHMARK BLUE SHIELD
PA
01
—
7243
GEISINGER
PA
Enumeration date
05/22/2006
Last updated
05/11/2021
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