1376595561 NPI number — DR. HOWARD F SASLOW MD

Table of content: DR. HOWARD F SASLOW MD (NPI 1376595561)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376595561 NPI number — DR. HOWARD F SASLOW MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SASLOW
Provider First Name:
HOWARD
Provider Middle Name:
F
Provider Name Prefix Text:
DR.
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:
1376595561
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/24/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4680 GRASSY POINT BLVD UNIT 101
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PORT CHARLOTTE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33952-9179
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
941-766-9749
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4680 GRASSY POINT BLVD UNIT 101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PORT CHARLOTTE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33952-9179
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
941-766-9749
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/16/2006

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: 207X00000X , with the licence number:  30090 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2083P0011X , with the licence number: ME49140 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207X00000X , with the licence number: ME0049140 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 02055 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: ME49140 . This is a "ADVANTAGE CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4655069 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: P00143439 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 088699001 . This is a "PALMETTO" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 279064 . This is a "WELLCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 591563145 . This is a "CIGNA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 0906301 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5275354009 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 045763900 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 149321XX . This is a "PREFERRED CARE" identifier . This identifiers is of the category "OTHER".




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