Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pine Grove Internal Medicine, Inc

Organization Internal Medicine Physician · NPI 1417059619

Pine Grove Internal Medicine, Inc is an Internal Medicine Physician in York, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1938 Security Dr
York, PA 17402-4727
Phone: (717) 741-5600
Fax: (717) 741-6750
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD034489E (PA)

Record details

NPI number1417059619
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paula Jacobus — Physician · (717) 741-5600
NPI enumeratedSeptember 1, 2006
Last updated in NPPESFebruary 4, 2011
Mailing address1938 Security Dr, York, PA 17402-4727

Other providers in York