1144296443 NPI number — RANDALL M SAYLOR MD

Table of content: RANDALL M SAYLOR MD (NPI 1144296443)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144296443 NPI number — RANDALL M SAYLOR MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SAYLOR
Provider First Name:
RANDALL
Provider Middle Name:
M
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144296443
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/04/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
401 LIBERTY AVE STE 2000
Provider Second Line Business Mailing Address:
THREE GATEWAY CENTER, 20TH FLOOR
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15222-1029
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-223-2272
Provider Business Mailing Address Fax Number:
412-281-6320

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
401 LIBERTY AVE STE 2000
Provider Second Line Business Practice Location Address:
THREE GATEWAY CENTER, 20TH FLOOR
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15222-1029
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-223-2272
Provider Business Practice Location Address Fax Number:
412-281-6320
Provider Enumeration Date:
02/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X , with the licence number:  MD023375E , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 052045 . This is a "HIGHMARK" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0008535720014 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0008535720013 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: P01124760 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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